PALS: Bradycardia: Difference between revisions

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==Background==
*Algorithm assumes pulse and poor perfusion (low BP, AMS, shock)
*Algorithm assumes pulse and poor perfusion (low BP, AMS, shock)
**Start CPR if HR <60/min w/ poor perfusion
 
***Recheck after 2min; if poor perfusion persists:
==Management==
****Give Epi 0.01 mg/kg (0.1 mL/kg 1:10,000)
*Start CPR if HR <60/min w/ poor perfusion
****Give Atropine 0.02mg/kg
**Recheck after 2min; if poor perfusion persists:
*****Only if due to incr vagal tone or AV block (not hypoxia)
***Give epi 0.01 mg/kg (0.1 mL/kg 1:10,000)
****Transcutaneous pacing
***Give atropine 0.02mg/kg (only if due to incr vagal tone or AV block)
*****Consider if bradycardia is due to complete heart block
***Transcutaneous pacing
****Consider if bradycardia is due to complete heart block


==See Also==
==See Also==

Revision as of 16:40, 21 December 2012

Background

  • Algorithm assumes pulse and poor perfusion (low BP, AMS, shock)

Management

  • Start CPR if HR <60/min w/ poor perfusion
    • Recheck after 2min; if poor perfusion persists:
      • Give epi 0.01 mg/kg (0.1 mL/kg 1:10,000)
      • Give atropine 0.02mg/kg (only if due to incr vagal tone or AV block)
      • Transcutaneous pacing
        • Consider if bradycardia is due to complete heart block

See Also

PALS (Main)

Source

AHA 2010 Guidelines for PALS