1 2 Identify Bradycardia (Pulse<50bpm) Establish and Treat Underlying Cause 3 Supportive Care 4 Hypotension? Shock? Ischemic Chest Pain? AMS? Heart Failure? 5 Monitor Patient No 6 Administer Drugs Yes Atropine 0.5 mg Repeat every 3-5 min to 3mg maximum dose 7 Expert Consult H’s and T’s: Hypoxia Hypovolemia Hydrogen Ion (Acidosis) Hypo/Hyperkalemia Hypothermia Toxins Tamponade (cardiac) Tension Pneumothorax Thrombosis (coronary and pulmonary) Trauma If ineffective, consider Transcutaneous Pacing OR Dopamine Infusion 2-10 mcg/kg/min OR Epinephrine Infusion 2-10 mcg/min Oxygenation (for Hypoxia) SPO2=94-95% Establish IV or IO access Monitor BP 12-Lead (if possible without delaying therapy) certification institute www.aclscertification.com Adult Bradycardia © ACLS Certification Institute www.aclscertification.com | 1-800-448-2078 Fast, Convenient and 100% Online ACLS Training and Certification Earn Your ACLS in 1-2 Hours. Certify or Recertify Today! ACLS
