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11 Cards in this Set
- Front
- Back
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def of bradycardia
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HR <60 bpm & inadequate for clinical condition
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first three things to do
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1) maintain patent airway
2) assist breathing as needed 3) give oxygen |
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Check and continually monitor these three things
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1) ECG (identify rhythem)
2) Blood pressure 3) puse ox |
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What do you check for next?
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Is there adequate perfusion
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What are the signs or symptoms of poor perfusion caused by bradycardia?
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1) acute altered mental status
2) ongoing chest pain 3) hypotension |
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If patient has adequate perfusion what do you do
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monitor
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If patient has poor perfusion, what do you do?
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Prepare for transcutaneous pacing
(without delay for high degree block [type II, 2nd degree or 3rd degree block) |
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Any medications you should use while your waiting?
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Atropine 0.5mg IV
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How often do you repeat Atropine?
and what is the max dose? |
every 3-5 minutes
3 mg |
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Any other drugs you can consider infusing while waiting for pacing?
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Epinephrine (2-10ug/min) or dopamine (2-10ug/kg/min
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Then what?
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Cardiology consult to prepare for tansvenous pacing
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