1/5/14

Bradycardia (HR < 60 bmp)

Stable, with adequate Perfusion:
Monitor and supportive care as needed. Unstable, without adequate perfusion (CP, BP, SOB, or ALOC):
Pace: Prepare for transcutaneous pacing (TCP). Do not delay for 2nd degree type 2 or 3rd degree complete AV block.
Atropine 0.5 mg IV every 3–5 min to a max of 3 mg.
Epinephrine 2–10 mcg/min or Dopamine 2–20 mcg/kg/min if TCP is ineffective or unavailable.
Prepare for transvenous pacing, and treat underlying causes.)



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