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10 Cards in this Set

  • Front
  • Back
Bradycardia with pulse
"slow heart rate but you can feel a pulse"
Step 1
Support ABC's as needed
Give OXYGEN
attach monitor/defibrillator
Bradycardia with pulse
despite giving OXYGEN and attaching monitor/defibrillator
If HR < 60/min and poor perfusion start CPR
Symptomatic Bradycardia with pulse, patient on OXYGEN and CPR has begun.
Give Epinephrine IV/IO
0.01mg/kg (1:10000 0.1mL/kg)
repeat q 3-5 minutes
ET 0.1mg/kg (1:1000 .1mL/kg)
Symptomatic Bradycardia with pulse, CPR in progress, Epinephrine given but now patient has increased vagal tone or primary AV block
Atropine 0.02mg/kg may repeat dose until max 1 mg
consider cardiac pacing
Reminders for CPR
What is the rate of compressions?
6 H's and and 5 T's
rate: 100/min
6 H
Hypovolemia, Hypoxia, Hydrogen ions, Hypo/hyperkalemia
Hypoglycemia, Hypothermia
5T
Toxins, Tamponade, Tension pneumothorax, Thrombosis, Trauma
Tachycardia with pulse and Poor perfusion
*Rapid Heart Rate with pulse
Assess and support ABC
give OXYGEN
Attach Monitor/ defibrillator
Tachycardia with pulse and Poor perfusion despite OXYGEN.
NARROW QRS (<0.8 sec)
Evaluate Rhythm with 12 lead
Probable Sinus Tachycardia
Search for and treat cause
Tachycardia with pulse and Poor perfusion despite OXYGEN.
NARROW QRS (<0.8 sec)
Evaluate Rhythm with 12 lead
Probable Supraventricular Tachycardia *P waves absent
HR >220 infants
HR >180 children
Start
Vagal Maneuvers
Give adenosine may repeat x 1
or SHOCK with 0.5-1 J/kg
if repeat then 2 J/kg
If unsuccessful give amiodarone OR procainamide
Tachycardia with pulse and Poor perfusion despite OXYGEN.
WIDE QRS (>0.8 sec)
Possible Ventricular Tachycardia
Shock 0.5-1 J/kg, increase to 2 J/kg for second shock
May attempt adenosine
May consider amiodarone OR procainamide
Pulseless Arrest
BLS algorithm, Continue CPR, Give OXYGEN, attach monitor /defibrillator
Check Rhythm
Shockable or not