University:
West Coast University
Course:
NURS 110 | Introduction to Professional Nursing
Academic year:

2021
Views:

429

Pages:

1
Author:

chondinny0r70

Sinus Bradycardia Rate: < 60 BPM PRI: .12-.20 sec QRS: < .12 QT: < .40 May be prolonged with excessively low heart rates. Rhythm: Regular Source of pacer: SA Node Characteristics: This rhythm may be normal for well-conditioned athletes and during sleep. Sinus Bradycardia, may be caused by several factors such as increased vagal tone from vomiting, bearing down to have a bowel movement or from medications such as digitalis, calcium channel blockers, beta blockers and many other antiarrhythmic medications Common with inferior wall MI, obstructive jaundice and increased intracranial pressure (ICP). Nursing Priorities: Check your patient’s blood pressure, assess for syncope, and SOB. Patient may need to lie down to prevent potential falls. Keep in mind that it may be normal for some individuals to have sinus bradycardia (e.g. athletes). Potential Treatment: Treatment is only necessary if the patient is symptomatic. Atropine 0.5 –1.0 mg, to a maximum of 3mg. Consider external transcutaneous pacing. Be prepared to assist the physician with the placement of an external temporary pacer. Treatment of associated hypotension may also need to be addressed.