PALS: Bradycardia: Difference between revisions
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==Management== | ==Management== | ||
*Start CPR if HR <60/min | *Start CPR if HR <60/min with poor perfusion | ||
**Recheck after 2min; if poor perfusion persists: | **Recheck after 2min; if poor perfusion persists: | ||
***Give epi 0.01 mg/kg (0.1 mL/kg 1:10,000) | ***Give epi 0.01 mg/kg (0.1 mL/kg 1:10,000) | ||
Revision as of 18:16, 11 July 2016
Background
- Algorithm assumes pulse and poor perfusion (low BP, AMS, shock)
Management
- Start CPR if HR <60/min with 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
- Recheck after 2min; if poor perfusion persists:
See Also
References
AHA 2010 Guidelines for PALS