Uploaded April 2009 | Updated September 2026, 3 weeks ago
Inherent Rate: less than 60 bpm.
P wave is upright on lead II, look-alike and before QRS; T wave is present after QRS.
INTERVENTIONS: based on AHA 2016 ACLS Guidelines
Correct possible causes (Hypothermia, Hypoglycemia, Toxins, Hypokalemia, Hypekalemia).
- Give Atropine 0.5 mg every 3-5 minutes maximum of 3 mg.
- Get ready or start Transcutaneous Pacer (TCP). If Atropine and TCP are ineffective and continues to be hypotensive, give Dopamine 2-20 mcg/kg per minute and titrate to effect. If profound bradycardia after Atropine and TCP, give Epinephrine 2-10 mcg/min and titrate to effect.
Inherent Rate: less than 60 bpm.
P wave is upright on lead II, look-alike and before QRS; T wave is present after QRS.
INTERVENTIONS: based on AHA 2016 ACLS Guidelines
Correct possible causes (Hypothermia, Hypoglycemia, Toxins, Hypokalemia, Hypekalemia).
- Give Atropine 0.5 mg every 3-5 minutes maximum of 3 mg.
- Get ready or start Transcutaneous Pacer (TCP). If Atropine and TCP are ineffective and continues to be hypotensive, give Dopamine 2-20 mcg/kg per minute and titrate to effect. If profound bradycardia after Atropine and TCP, give Epinephrine 2-10 mcg/min and titrate to effect.
