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ACLS Algorithms 3

The document provides a checklist for assessing and treating adult bradycardia. It outlines steps to identify the underlying cause, determine if the bradycardia is causing issues, and potential treatments including atropine, transcutaneous pacing, dopamine or epinephrine infusions if atropine is ineffective.

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frankie-jay paicot
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521 views1 page

ACLS Algorithms 3

The document provides a checklist for assessing and treating adult bradycardia. It outlines steps to identify the underlying cause, determine if the bradycardia is causing issues, and potential treatments including atropine, transcutaneous pacing, dopamine or epinephrine infusions if atropine is ineffective.

Uploaded by

frankie-jay paicot
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Adult Bradycardia Learning Station Checklist

Adult Bradycardia Algorithm

1
Assess appropriateness for clinical condition.
Heart rate typically <50/min if bradyarrhythmia.

2
Identify and treat underlying cause
• Maintain patent airway; assist breathing as necessary
• Oxygen (if hypoxemic)
• Cardiac monitor to identify rhythm; monitor blood pressure and oximetry
• IV access
• 12-Lead ECG if available; don’t delay therapy
• Consider possible hypoxic and toxicologic causes

3 Persistent
bradyarrhythmia causing:
4 No • Hypotension?
Monitor and observe • Acutely altered mental status?
• Signs of shock? Doses/Details
• Ischemic chest discomfort? Atropine IV dose:
• Acute heart failure? First dose: 1 mg bolus.
Repeat every 3-5 minutes.
Yes Maximum: 3 mg.
Dopamine IV infusion:
5
Usual infusion rate is
Atropine
5-20 mcg/kg per minute.
If atropine ineffective: Titrate to patient response;
• Transcutaneous pacing taper slowly.
and/or Epinephrine IV infusion:
• Dopamine infusion
2-10 mcg per minute infusion.
or Titrate to patient response.
• Epinephrine infusion
Causes:
• Myocardial ischemia/
infarction
• Drugs/toxicologic (eg,
6 calcium-channel blockers,
Consider: beta blockers, digoxin)
• Hypoxia
• Expert consultation
• Electrolyte abnormality
• Transvenous pacing (eg, hyperkalemia)
© 2020 American Heart Association

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