ACLS: Bradycardia

Revision as of 12:49, 17 September 2013 by Ostermayer (talk | contribs)

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