ACLS: Bradycardia: Difference between revisions
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Revision as of 16:43, 11 August 2013
Background
- Only intervene if pt is symptomatic (hypotension, AMS, chest pain, pulm edema)
Treatment
- Transcutaneous pacing
- Chronotropes
- Dopamine 2-10mcg/kg/min
- Epinephrine 2-10mcg/min
- 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