Advanc

edCardi
ovascul
arLi
feSuppor
t
Savi
ngLi
vesToget
her
Adul
tBradyc
ardi
awithaPuls
e

Assessi
fthehear
trhyt
hm i
sappr
opr
iat
efort
hepat
ient
’
scondi
t
ion.
Hear
trat
esbel
ow50beat
spermi
nut
e(bpm)shoul
dgener
all
ybet
reat
ed.

Sear
chf
orandt
reatt
hecause.
Moni
tor
: Pr
ovi
deasneeded:
•Hear
trhyt
hm •Mai
ntai
nanopenai
rway
•Oxymet
ry •Gi
veoxygen
•Bl
oodpr
essur
e

I
sthebr
adycar
diasympt
omat
ic?
•Lowbl
oodpr
essur
e
•Changei
nment
alst
atus
•Chestpai
n
•Hear
tfai
l
ure

Yes No

Gi
veat
ropi
ne. Moni
tort
hepat
ient
.
Dose:0.
5mgI
V/I
O push.
Youmayr
epeatever
y3-
5mi
nut
es
wi
thamaxi
mum doseof3mg.

At
temptt
ranscut
aneouspaci
ng. St
artadopami
nei
nfusi
on: St
artanepi
nephr
ineI
nfusi
on:
St
andar
dinf
ust
ionr
atei
s2-
20mcg/
kg/
minI
V/O. St
I andar
dinf
usi
onr
atei
s2-
10mcg/
min.
St
artconser
vat
iveandt
i
trat
etor
esponse. St
artconser
vat
i
veandt
i
trat
etor
esponse.

Consi
derr
equest
i
ngexper
tconsul
tat
ion.
Consi
derat
tempt
i
ngt
ransvenouspaci
ng.

Source:AmericanHeartAssociat
ion.(2015)
.
ht
tps:/
/eccgui
deli
nes.
heart.
org/
wp- cont
ent/
upl
oads/
2015/
10/
2010-
Int
egr
ated_Updat
ed-
Cir
cul
ati
on-
ACLS-
Bradycar
dia-
Algor
it
hm.
png
Dall
as,TX:Publ i
sher
.
©Uni t
edMedi calEducat
ion2017