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Asymptomatic Bradycardia – usually don’t treat
Symptomatic Stable Bradycardia – atropine, further workup
Symptomatic Unstable Bradycardia – SIMULTANEOUS treatment with medications and electricity
- Meds: Trial of atropine, then either epinephrine, dopeamine, or isoproterenol
- Electricity: Transcutaneous Pace –> TVP
DDX of Bradycardia – BRADIE
Blocks (av blocks)
Reduced vital signs (hypoxemia, hypothermia, hypoglycemia)
Acs (acute coronary syndrome/ischemia)
Drugs (beta blocker, calcium channel blocker, digoxin, organophosphate)
Infection/Inc ICP (Lyme, myocarditis // cushings reflex)
Electrolyte/Endocrine (hyperkalemia, hypermagnesemia, hypocalcemia // myxedema coma)