Adult Resus - Bradycardia - 2025/04/17 Protocols

Question 1

Adult bradycardia atropine

Answer 1

1 mg IV

Question 2

Epinephrine in bradycardia un-responsive to atropine or TCP.

Answer 2

2 mcg/min

Question 3

Versed in procedural sedation for adult transcutaneous pacing

Answer 3

0.05 mg/kg IV/IO/IN

Question 4

Pain management for adult transcutaneous pacing

Answer 4

Ketamine 1 mg/kg IV/IO or 2.5 mg/kg IM

(as needed to maintain sedation/analgesia throughout pacing)

AND/OR

Fentanyl 1 mcg/kg IV/IO up to 100 mcg

Question 5

Max single dose of Fentanyl for TCP in adults?

Answer 5

100 mcg

Question 6

TCP may be used immediately in the adult bradycardia patient in what situations?

Answer 6

High grade block that will not responds to atropine.

Question 7

TCP in the adult bradycardia patient begins at what rate and amperage?

Answer 7

70 BPM and 2 mA

Question 8

Max dose of epinephrine in the adult bradycardia patient unresponsive to TCP or atropine.

Answer 8

10 mcg/min

Question 9

Max total atropine dose in adult bradycardia

Answer 9

3 mg

Question 10

Repeat atropine timing for adult bradycardia

Answer 10

repeat q5 min

Question 11

How do you mix epinephrine for adult bradycardia

Answer 11

2 mg of 1:1,000 epi in 250 mL of D5W

Question 13

In addition to high grade SA blocks, what other condition may result in a lack of response when giving atropine?

Answer 13

Heart transplant (de-innervation of SNS at the SA node)

Question 14

After electromechanical capture occurs in the adult, what should be done with TCP?

Answer 14

Increase mA by 5-10 mA