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ACLS/BLS Preparation

Instructions

Therapy Drag

WHY?

The goal for this tutorial is to assist the user in memorizing the Bradycardia Algorithm content.

One session a day for 7 days

Session Completion!

Place this information in your long term memory with "Spaced Repitetion" by reviewing once a day for 7 days

Last tutorial.

Click "Contents" for more choices.

Adult Bradycardia With Pulse

Assess appropriateness for clinical condition.

?
?
?
  • Oxygen (if hypoxemic)
  • Cardiac monitor to identify rhythm; monitor blood pressure and oximetry
  • IV Access
  • ?
    ?
    • Hypotension?
  • Acutely altered mental status?
  • ?
  • Ischemic chest discomfort?
  • ?
    ?
    ?

    If atropine ineffective:

    • Transcutaneous Pacing

    OR

    ?

    OR

  • Epinephrine infusion
  • Consider:

    • Expert consultation
    ?

    Note:

    Therapies have to be placed in their "official" AHA algorithum order

    Drag boxes to their proper positions.

  • Acute heart failure?
    • Maintain patent airway; assist breathing as necessary
    Monitor and observe
  • Dopamine infusion
  • 12-Lead ECG if available don't delay therapy
  • Atropine

    Heart rate typically < 50/min if bradyarrhythmia.

    Identify and treat underlying cause

  • Transvenous pacing
  • Persistent bradyarrhythmia causing:

  • Signs of shock?
  • Adult Bradycardia With Pulse

    ?

    Heart rate typically < 50/min if bradyarrhythmia.

    Identify and treat underlying cause

    • Maintain patent airway; assist breathing as necessary
    ?
  • Cardiac monitor to identify rhythm; monitor blood pressure and oximetry
  • ?
  • 12-Lead ECG if available don't delay therapy
  • Persistent bradyarrhythmia causing:

    ?
    ?
  • Signs of shock?
  • ?
  • Acute heart failure?
  • Monitor and observe

    Atropine

    ?
    ?

    OR

  • Dopamine infusion
  • OR

    ?

    Consider:

    ?
  • Transvenous pacing
  • Drag boxes to their proper positions.

  • Acutely altered mental status?
  • If atropine ineffective:

  • Ischemic chest discomfort?
  • Oxygen (if hypoxemic)
  • Assess appropriateness for clinical condition.

    • Expert consultation
  • IV Access
    • Transcutaneous Pacing
  • Epinephrine infusion
    • Hypotension?

    Adult Bradycardia With Pulse

    Assess appropriateness for clinical condition.

    ?
    ?
    ?
  • Oxygen (if hypoxemic)
  • Cardiac monitor to identify rhythm; monitor blood pressure and oximetry
  • IV Access
  • ?
    ?
    • Hypotension?
  • Acutely altered mental status?
  • ?
  • Ischemic chest discomfort?
  • ?
    ?
    ?

    If atropine ineffective:

    • Transcutaneous Pacing

    OR

    ?

    OR

  • Epinephrine infusion
  • Consider:

    • Expert consultation
    ?

    Drag boxes to their proper positions.

    Persistent bradyarrhythmia causing:

  • Signs of shock?
  • Monitor and observe
    • Maintain patent airway; assist breathing as necessary
  • Transvenous pacing
  • Identify and treat underlying cause

  • Dopamine infusion
  • Heart rate typically < 50/min if bradyarrhythmia.

  • Acute heart failure?
  • Atropine

  • 12-Lead ECG if available don't delay therapy
  • Adult Bradycardia With Pulse

    ?

    Heart rate typically < 50/min if bradyarrhythmia.

    Identify and treat underlying cause

    • Maintain patent airway; assist breathing as necessary
    ?
  • Cardiac monitor to identify rhythm; monitor blood pressure and oximetry
  • ?
  • 12-Lead ECG if available don't delay therapy
  • Persistent bradyarrhythmia causing:

    ?
    ?
  • Signs of shock?
  • ?
  • Acute heart failure?
  • Monitor and observe

    Atropine

    ?
    ?

    OR

  • Dopamine infusion
  • OR

    ?

    Consider:

    ?
  • Transvenous pacing
  • Drag boxes to their proper positions.

    • Hypotension?
    • Expert consultation

    If atropine ineffective:

  • IV Access
  • Acutely altered mental status?
    • Transcutaneous Pacing
  • Epinephrine infusion
  • Ischemic chest discomfort?
  • Oxygen (if hypoxemic)
  • Assess appropriateness for clinical condition.

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