LCFR CT/I/P Protocol Flashcards - Bradycardia
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- In asymptomatic bradycardia, what steps do you initiate?
-
Airway Management
IV NaCl KVO
Contact Med Control - What is the maximum total amount of Atropine to be administered for Bradycardia?
- 0.04 mg/kg
- For Bradycardia, how many minutes between Atropine administration?
- 3 minutes
-
In Bradycardia, what are the criteria for:
Giving 0.5 mg Atropine?
Giving 1.0 mg Atropine?
Giving no Atropine at all? -
0.5 mg - Symptomatic Bradycardia (decreased LOC, chest pain, dyspnea, and/or hypotension) without a 3rd Degree AV Block.
1.0 mg - Symptomatic Bradycardia (decreased LOC, chest pain, dyspnea, and/or hypotension) with a 3rd Degree AV Block.
No Atropine - Asymptomatic Bradycardia. - In Bradycardia, is the Atropine administered Fast or Slow?
- Fast.
- In the bradycardia protocol, what do you do if the pulse increases to greater than 60 bpm but the systolic BP is less than 90 mm/Hg?
- If no pulmonary edema - Administer a 250 to 500 ml fluid challenge.
- What are the medication options if the Bradycardia is refractory to Atropine and Cardiac Pacing?
-
Dopamine.
Epinephrine.
Isuprel. - What is the dopamine mix concentration for Bradycardia?
- 200 mg Dopamine mixed in 250 ml D5W to yield 800 micrograms/ml.
- For Bradycardia, how much Dopamine is administered and what are the flow rates?
-
5 to 20 micrograms/kg/min.
Flow rates:
200 mcg/min = 15 microdrops/min
400 mcg/min = 30 microdrops/min
600 mcg/min = 45 microdrops/min
800 mcg/min = 60 microdrops/min - For Bradycardia, what steps require Med Control authorization?
-
Cardiac Pacing.
Administration of Dopamine, Epinephrine, or Isuprel. - What is the Epinephrine mix concentration for Bradycardia?
- 1.0 mg Epinephrine (1:1000) mixed in 500 ml D5W to yield 2.0 micrograms/ml.
- In the bradycardia protocol, how much Epinephrine is administered and what are the flow rates?
-
2 to 10 micrograms/kg/min.
Flow rates:
2 mcg/min = 60 microdrops/min
3 mcg/min = 90 microdrops/min
4 mcg/min = 120 microdrops/min - What is the Isuprel mix concentration for Bradycardia?
- 1.0 mg Isuprel mixed in 500 ml D5W to yield 2.0 micrograms/ml.
- In the bradycardia protocol, how much Isuprel is administered and what are the flow rates?
-
2 to 10 micrograms/kg/min.
Flow rates:
2 mcg/min = 60 microdrops/min
3 mcg/min = 90 microdrops/min
4 mcg/min = 120 microdrops/min - The Bradycardia protocol states that you administer between 5 to 20 mcg/kg/min of Dopamine. How do you determine exactly how much Dopamine to administer?
- Set the flow at a rate which brings the pulse up to 60 bpm or a systolic BP greater than 90 mm/Hg.
- The Bradycardia protocol states that you administer between 2 and 10 mcg/kg/min of Epinephrine or Isuprel. How do you determine exactly how much to administer?
- Set the flow at a rate which brings the pulse up to 60 bpm or a systolic BP greater than 90 mm/Hg.
- In the Bradycardia Protocol, when should Epinephrine or Isuprel flow rates be decreased or discontinued?
- Decrease flow rate if PVCs occur. Discontinue if V-Tach of V-Fib develops.