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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
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what are the signs or symptoms of poor perfusion
- acute altered mental status
- ongoing chest pain
- hypotension
- other signs of shock
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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
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if poor perfusion technique doesn't work then prepare for
- transvenous pacing
- treat contributing causes
- consider expert consultation
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if adequate perfusion then
observe/monitor
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reminder- if pulseless arrest develops, go to
pulseless arrest algorithm
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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)
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