bradycardia algorithm

  1. bradycardia HR
  2. what to give when pt is bradycardic
    • maintain patent airway
    • assis breathing as needed
    • give oxygenation
    • monitor ECG (identify rhythm), bp, p.ox
    • establish iv access
  3. what are the signs or symptoms of poor perfusion
    • acute altered mental status
    • ongoing chest pain
    • hypotension
    • other signs of shock
  4. if poor perfusion
    • prepare for transcutaneous pacing- use w/out delay for high degree block (type 2 second deg block or 3rd deg AV block
    • consider atropine .5mg IV while awaiting pacer. may repeat to a total dose of 3mg. in ineffective, being pacing
    • epinephrine or dopamine- infusion while awaiting pacer or if pacing ineffictive
  5. if poor perfusion technique doesn't work then prepare for
    • transvenous pacing
    • treat contributing causes
    • consider expert consultation
  6. if adequate perfusion then
  7. reminder- if pulseless arrest develops, go to
    pulseless arrest algorithm
  8. search for and treat possible contributing factors
    • hypovolemia
    • hypoxia
    • hydrogen ion (acidosis)
    • hypo-hyperkalemia
    • hypoglycemia
    • hypothermia
    • toxins
    • tamponade, cardiac
    • tension pneumothorax
    • thrombosis (coronary or pulm)
    • trauma (hypovolemia, inc ICP)
Card Set
bradycardia algorithm
bradycardia algorithm