ACLS Bradycardia
bradycardia definition - answersany rhythm disorder with heart rate less than 60/min
dopamine IV infusion dose - answers2-20 mcg/kg per minute
dose of atropine - answersfirst dose: 0.5 mg bolus
repeat every 3-5 min
maximum of 3 mg
drugs used for bradycardia - answers- atropine
- dopamine (infusion)
- epinephrine (infusion)
effects of epinephrine and dopamine - answersboth are vasoconstrictors as well as
chronotropes;
avoid hypovolemia by assessing pt's intravascular volume status
epinephrine IV infusion dose - answers2-10 mcg/kg per minute
first degree AV block - answersPR interval is lengthened greater than .20 seconds
first-line treatment in absence of immediately reversible causes: - answersatropine
how much atropine to give? - answers0.5 mg IV every 3-5 minutes to a total dose of
0.04 mg/kg (max of 3 mg)
how to ID bradycardia - answersidentify whether brady is:
- present by definition (<50)
- inadequate for patient's condition (functional or relative)
if patient is presenting with 2nd degree or 3rd degree block - answersmove to second-
line treatment after 2-3 doses of atropine; do not wait for max dose of atropine
indications for TCP - answers- hemodynamically unstable bradycardia
- unstable clinical condition likely due to bradycardia
- symptomatic sinus bradycardia
- mobitz type II 2nd degree AV block
- 3rd degree AV block
- new left/right/or alternating bundle branch block or bifascicular block
-bradycardia with symptomatic ventricular escape rhythms
precautions for TCP - answers- severe hypothermia and not recommended for aystole
bradycardia definition - answersany rhythm disorder with heart rate less than 60/min
dopamine IV infusion dose - answers2-20 mcg/kg per minute
dose of atropine - answersfirst dose: 0.5 mg bolus
repeat every 3-5 min
maximum of 3 mg
drugs used for bradycardia - answers- atropine
- dopamine (infusion)
- epinephrine (infusion)
effects of epinephrine and dopamine - answersboth are vasoconstrictors as well as
chronotropes;
avoid hypovolemia by assessing pt's intravascular volume status
epinephrine IV infusion dose - answers2-10 mcg/kg per minute
first degree AV block - answersPR interval is lengthened greater than .20 seconds
first-line treatment in absence of immediately reversible causes: - answersatropine
how much atropine to give? - answers0.5 mg IV every 3-5 minutes to a total dose of
0.04 mg/kg (max of 3 mg)
how to ID bradycardia - answersidentify whether brady is:
- present by definition (<50)
- inadequate for patient's condition (functional or relative)
if patient is presenting with 2nd degree or 3rd degree block - answersmove to second-
line treatment after 2-3 doses of atropine; do not wait for max dose of atropine
indications for TCP - answers- hemodynamically unstable bradycardia
- unstable clinical condition likely due to bradycardia
- symptomatic sinus bradycardia
- mobitz type II 2nd degree AV block
- 3rd degree AV block
- new left/right/or alternating bundle branch block or bifascicular block
-bradycardia with symptomatic ventricular escape rhythms
precautions for TCP - answers- severe hypothermia and not recommended for aystole
