This issue of eMedRef provides information to clinicians on bradycardia algorithm with a pulse

Beverage, Jennifer

Courtney, Whitney

English

University of Missouri: MOspace

Bradycardia Algorithm Page 1 of 2    3.12.12 Bradycardia Algorithm  With a pulse  Circulation. 2005; 112:IV-67 – IV-77 See ACLS Notes  Bradycardia 1. HR<50 AND  o Inadequate for clinical situation  First Steps: Identify and treat underlying causes 1. Maintain patent airway  o Noninvasive airway maneuvers 2. Assist breathing as needed 3. Administer Oxygen (if hypoxemic) 4. Monitor  o ECG (12 lead if available, identify rhythm, do not delay therapy) o Blood pressure o Oximetry (pulse ox) 5. Establish IV access  Persistent bradyarrhythmia causing o Altered mental status (acute) o Ongoing ischemic chest pain/discomfort o Hypotension o Other signs of shock o Acute heart failure 1. NO o Monitor and observe 2. YES  o Treat as symptomatic bradycardia  If Poor Perfusion 1. Atropine: 0.5 mg IV (while awaiting pacer)  o May repeat up every 3 – 5 minutes to a max dose of 3.0 mg  o If ineffective, begin pacing 2. Prepare for Transcutaneous pacing  o Use without delay in high-grade block   Second degree Type II block   Third degree block  3. Consider (while waiting for pacer OR if pacer ineffective)  o Epinephrine: 2-10 mcg/ min OR o Dopamine: 2-10 mcg/kg/ min 4. Treat contributing causes 5. Consider expert consultation   Bradycardia Algorithm Page 2 of 2    3.12.12  Observe/ Monitor 1. If Pulseless Arrest Develops  o Pulseless Arrest Algorithm o Search for/ treat possible contributing causes   The 6 H's   Hypovolemia  Hypoxia  Hydrogen Ion (acidosis)  Hypo/ Hyperkalemia  Hypoglycemia  Hypothermia  The 5 T's   Toxins  Tamponade (cardiac)  Tension pneumothorax   Thrombosis  o Coronary o Pulmonary  Trauma  o Hypovolemia o Increased ICP   “2010 Handbook of Emergency Cardiovascular Care for Healthcare Providers.” 2010, First American Heart Association Printing, November 2010.   Authors:  Jennifer Beverage, DO, & Whitney Courtney, DO, United Hospital Center Program, WV  Editor:  Robert Marshall, MD, MPH, MISM, CMIO,  Madigan Army Medical Center, Tacoma, WA 

Bradycardia algorithm with a pulse

https://mospace.umsystem.edu/xmlui/bitstream/10355/14034/1/BradycardiaAlgorithm.pdf

Bradycardia algorithm with a pulse

Abstract

Similar works

Full text

Available Versions

University of Missouri: MOspace