Free handy references about Acute Adult Bradycardia (With Pulse) Algorithm from the ACLS Certification Institute. View all ACLS algorithms at http://www.ACLScertification.com/

1. 1
2
Identify
Bradycardia
(Pulse<50bpm)
Establish and
Treat Underlying
Cause
3 Supportive Care
4 Hypotension?
Shock?
Ischemic Chest Pain?
AMS?
Heart Failure?
5
No
Monitor Patient
Yes
6 Administer Drugs
Atropine 0.5 mg
Repeat every 3-5 min
to 3mg maximum dose
7 Expert Consult
ACLS
H’s and T’s:
Hypoxia
Hypovolemia
Hydrogen Ion (Acidosis)
Hypo/Hyperkalemia
Hypothermia
Toxins
Tamponade (cardiac)
Tension Pneumothorax
Thrombosis (coronary and pulmonary)
Trauma
If ineffective, consider
Transcutaneous Pacing
OR
Dopamine Infusion
2-10 mcg/kg/min
OR
Epinephrine Infusion
2-10 mcg/min
Oxygenation (for Hypoxia)
SPO2=94-95%
Establish IV or IO access
Monitor BP
12-Lead (if possible without
delaying therapy)
certication institute
www.aclscertication.com
Adult Bradycardia
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