Adult Bradycardia

ACLS
certification institute
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1 Identify
Bradycardia
(Pulse<50bpm)

H’s and T’s:

Hypoxia
Hypovolemia
2 Establish and Hydrogen Ion (Acidosis)
Hypo/Hyperkalemia
Treat Underlying Hypothermia
Cause Toxins
Tamponade (cardiac)
Tension Pneumothorax
Thrombosis (coronary and pulmonary)
Trauma

3 Supportive Care
Oxygenation (for Hypoxia)
SPO2=94-95%
Establish IV or IO access
Monitor BP
12-Lead (if possible without
delaying therapy)

4
Hypotension?
Shock?
No Ischemic Chest Pain? Yes
AMS?
Heart Failure?

5 6 Administer Drugs
Monitor Patient Atropine 0.5 mg
Repeat every 3-5 min
to 3mg maximum dose
If ineffective, consider
Transcutaneous Pacing
OR

Dopamine Infusion
2-10 mcg/kg/min

OR

7 Expert Consult Epinephrine Infusion

2-10 mcg/min

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