Algorithm for Bradycardia - Flowchart

Algorithm for Bradycardia - Flowchart

Algorithm for Bradycardia - Flowchart Adult Resuscitation Adult Resuscitation

«Flowchart»

Bradycardia with a pulse

Bradycardia with a pulse

Bradycardia with a pulse

Observe

Observe

Observe

Atropine (0.5 mg q3-5 min up to 3 mg)

Atropine (0.5 mg q3-5 min up to 3 mg)

Atropine (0.5 mg q3-5 min up to 3 mg)

Glucagon (50-150 µg/kg up to 10 mg)

Glucagon (50-150 µg/kg up to 10 mg)

Glucagon (50-150 µg/kg up to 10 mg)

End

End

End

persistent bradycardia

persistent bradycardia

persistent bradycardia

possible β-blocker/CCB toxicity

possible β-blocker/CCB toxicity

β possible β-blocker/CCB toxicity β

Epinephrine (2-10 µg/min)

Epinephrine (2-10 µg/min)

Epinephrine (2-10 µg/min)

Dopamine (2-20 µg/kg/min)

Dopamine (2-20 µg/kg/min)

Dopamine (2-20 µg/kg/min)

Transcutaneous or transvenous pacing

Transcutaneous or transvenous pacing

Transcutaneous or transvenous pacing

^aNormal heart rate goal may be <60 bpm for patients receiving therapeutic nodal agents (eg, !!bet!!-blocker). When IV access or medications are not immediately available, can jump to transcutaneous pacing.

^aNormal heart rate goal may be <60 bpm for patients receiving therapeutic nodal agents (eg, !!bet!!-blocker). When IV access or medications are not immediately available, can jump to transcutaneous pacing.

^aNormal heart rate goal may be <60 bpm for patients receiving therapeutic nodal agents (eg, !!bet!!-blocker). When IV access or medications are not immediately available, can jump to transcutaneous pacing.

^a

HR lower than clinically expected^a

HR lower than clinically expected^a

HR lower than clinically expected^a

^a ^a

Hypotension
Altered mental status
Ischemic chest pain
Acute heart failure

Hypotension
Altered mental status
Ischemic chest pain
Acute heart failure

Hypotension

Asymptomatic, stable

Asymptomatic, stable

Asymptomatic, stable