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Bradycardia is defined as a heart rate of < 60 bpm in adults and is age dependant in children. However, bradycardia may be considered normal for some patients (e.g. whilst at rest or very fit individuals). Patients with asymptomatic bradycardia rarely require treatment. Bradycardia can be classified as cardiac or non-cardiac.
19 Sep 2016 A brief overview of the initial management of unstable bradycardia in the emergency department. Toxicologic: Medications are a common cause of bradycardia and some require specific therapies that go beyond the ACLS algorithm: Digoxin: digibind; Calcium channel blockers: calcium gluconate, high
Epinephrine and dopamine are second-line drugs for symptomatic bradycardia. They are both used as infusions in the bradycardia algorithm if atropine is ineffective. ACLS guidelines state that if bradycardia is unresponsive to atropine, an equally effective alternative to transcutaneous pacing is the use of an IV infusion of

21 Nov 2016 Sinus bradycardia can be defined as a sinus rhythm with a resting heart rate of 60 beats per minute or less. However, few patients actually become symptomatic until their heart rate drops to less than 50 beats per minute.
13 Dec 2005 Atropine. In the absence of reversible causes, atropine remains the first-line drug for acute symptomatic bradycardia (Class IIa). The recommended atropine dose for bradycardia is 0.5 mg IV every 3 to 5 minutes to a maximum total dose of 3 mg.
Bradycardia Pharmacology. 2015 AHA Update: For symptomatic bradycardia or unstable bradycardia IV infusion chronotropic agents (dopamine & epinephrine) is now recommended as an equally effective alternative to external pacing when atropine is ineffective. Atropine: The first drug of choice for symptomatic bradycardia.
Guidelines. Resuscitation Council (UK). Adult bradycardia algorithm. 5th Floor, Tavistock House North, Tavistock Square, London WC1H 9HR. Telephone (020) 7388-4678 • Fax (020) 7383-0773 • Email enquiries@resus.org.uk wwwresus.org.uk • Registered Charity No. 286360. October 2010. Seek expert help. Arrange
21 Mar 2014 1. Initial evaluation Assess appropriateness for clinical condition Heart rate typically < 50 bpm in bradyarrhythmia 2.
6 days ago Using the ACLS Bradycardia Algorithm for Managing Bradycardia. The ACLS Bradycardia Algorithm outlines the steps for assessing and managing a patient who presents with symptomatic bradycardia. It begins with the decision that the patient's heart rate is < 60 bpm and that is the reason for the patient's
     

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