Adult bradycardia

Question 1

What is the first line treatment for unstable bradycardia?

Answer 1

Transcutaneous pacing at 80 ppm and 80 mA

Consider sedation with for said if not contraindicated.

Question 2

What is the pharmacological therapy for stable adult bradycardia?

Answer 2

Atropine sulfate:
.5 mg every 3 to 5 minutes to a max of 3 mg.
Max total dose of .04 mg per kilogram for morbidly obese patients.

Question 3

What is the epinephrine infusion rate for bradycardia?

Answer 3

2 –10 µg per minute

Titrate to adequate blood pressure and heart rate response