ACLS: Bradycardia: Difference between revisions

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**Dopamine 2-10mcg/kg/min
**Dopamine 2-10mcg/kg/min
**[[Epinephrine]] 2-10mcg/min
**[[Epinephrine]] 2-10mcg/min
*Atropine 0.5mg q3-5min can be given as temporizing measure
*Atropine
*Transvenous pacing required if transcutaneous pacing + chronotropes are ineffective
**Can be used as temporizing measure (while awaiting pacing and/or chronotropes)
**Use cautiously in pts w/ ongoing ischemia (tachycardia may worsen ischemia)
**0.5mg q3-5min
*Transvenous pacing
**Required if transcutaneous pacing + chronotropes is ineffective


==See Also==
==See Also==

Revision as of 04:29, 26 March 2012

Background

  • Only intervene if pt is symptomatic (hypotension, AMS, chest pain, pulm edema)

Treatment

  • Transcutaneous pacing
  • Chronotropes
  • Atropine
    • Can be used as temporizing measure (while awaiting pacing and/or chronotropes)
    • Use cautiously in pts w/ ongoing ischemia (tachycardia may worsen ischemia)
    • 0.5mg q3-5min
  • Transvenous pacing
    • Required if transcutaneous pacing + chronotropes is ineffective

See Also