click below
click below
Normal Size Small Size show me how
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 |