1. 0.5 mg IVP atropine: This refers to the administration of 0.5 mg of atropine intravenously, commonly
used as a first-line treatment for symptomatic bradycardia to increase heart rate by blocking vagal input
to the heart.
2. First-line treatment for symptomatic bradycardia: The first-line treatment is typically pacing, which
involves delivering electrical stimulation to the heart to increase the heart rate when bradycardia is
symptomatic and not responding to atropine.
3. Second-line treatment for symptomatic bradycardia: Sedative medications are not typically used as
second-line treatment for bradycardia. Instead, if a patient has stable blood pressure and pacing is not
immediately indicated, the administration of a continuous intravenous infusion of epinephrine (Epi) or
dopamine may be considered to support heart rate and blood pressure.
4. Anticipation of administration prior to pacing a patient with stable BP: Before pacing a patient with
stable blood pressure, preparation may include setting up equipment for transcutaneous pacing,
transvenous pacing, or epicardial pacing, depending on the clinical situation and available resources.
5. Third-line treatment for symptomatic bradycardia: Third-line treatments refer to different methods of
pacing: transcutaneous pacing (external pacing through electrodes placed on the skin), transvenous
pacing (placing a pacing wire through a vein into the heart), or epicardial pacing (placing a pacing wire
on the surface of the heart).
, 6. Types of pacing: Sinus bradycardia is a specific EKG rhythm where the heart rate is slower than normal
due to activity from the sinus node.
If you have more questions or need further clarification on any of these topics, feel free to ask!
normal sinus rhythm, heart rate less than 60h
How do you identify sinus bradycardia on an EKG strip?
normal sinus rhythm, heart rate greater than 100
how do you identify sinus tachycardia on an EKG strip?
vagal maneuvers
what is a non-pharmacological intervention that can treat sinus tachycardia?
beta blockers and calcium channel blockers
what are 2 medications that can be used to treat sinus tachycardia?
60
don't give your patient a beta blocker if their heart rate is less than ______
hypoglycemia