Difference between revisions of "ACLS: Bradycardia"

(Treatment)
(Treatment)
Line 6: Line 6:
 
**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