Management of Bradycardias - Edubirdie

University:
Western Sydney University
Course:
MEDI 2003 | Clinical Sciences 2
Academic year:

2024
Views:

429

Pages:

1
Author:

Mariam A. A.

Questions to Ask: How slow is the HR? Is pt on BBs, CCB, digoxin, or other anti-arrhythmic drugs? Can drugs cause bradycardia or an-block any bradycardia? Reason for admission Important Considerations: If HR <40 bpm, a S3G290 or features of circulatory compromise → urgent need for medical intervention Attach ECG monitor Consider temporarily placing the patient in a Trendelenburg position (foot of bed elevated) Immediate Management: Sinus Bradycardia: If HR is not <40 bpm and no features of circulatory compromise → no immediate intervention If HR <40 bpm or ECG shows conduction block, start atropine If no response to atropine, consider external pacing If no response to external pacing, consider transthoracic pacing AF with slow ventricular response or organ hypoperfusion: IV fluids Consider IV dobutamine or other inotropic agents AV Block: If stable, observe If progressing, consider external pacing or transthoracic pacing

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