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ACLSPHARMbrady
ACLSPHARM
| Question | Answer |
|---|---|
| What HR defines Bradycardia? | < 60/min |
| What HR is bradycardia considered the cause of the symptoms? | < 50/min |
| What are bradycardia symptoms? | Chest discomfort, SOB, LOC, wekness, fatigue, syncope |
| What are signs of bradycardia? | Hypotension, orthostatic, diaphoresis, pulmonary congestion |
| How many Steps in Bradycardia Algorithm? | 6 |
| Bradycardia Step 1 | Access HR |
| Bradycardia Step 2 | Identify Underlying cause by ECG, iv access, oxygent if hyoxic and cardiac monitor |
| Bradycardia Step 3 | Look for things caused by persistent bradycardia |
| Things resulting from persistent bradycardia | Hypotension, Altered mental status, shock, ischemic chest pain, acute heart failure |
| What do you do if there are no persistent symptoms of bradycardia? | Proceed to step 4 and Stop interventions and monitor |
| Bradycardia Step 5 | Atropine |
| If atropine fails in Bradycardia | TCP or dopamine infusion or epinephrine infusion |
| Dose and frequency of Atropine in Bradycardia? | 0.5mg q 3-5 min, max 3mg |
| Dopamine infusion rate in Bradycardia? | 2-10mcg/kg/min |
| Epinephrine infusion rate in Bradycardia? | 2-10 mcg/min |
| The patient has to have what to proceed to step 5? | Poor perfusion |
| What happens if doses smaller than 0.5mg atropine are given? | Increased bradycardia |
| Atropine should not be used in what patients? | AMI, Mobitz type II second or third AV block or third block with widening QRS |
| TCP should be considered first in whcih patients? | Unstable with high degree block without iv access |
Created by:
1pharmdoc
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