Adult Bradycardia With a Pulse Algorithm
This flowchart illustrates the Adult Bradycardia With a Pulse Algorithm. It consists of numbered boxes and a hexagon linked together with arrows, as well as an inset table at the bottom right. Box 1 at the top, which is orange, says, “Assess appropriateness for clinical condition. Heart rate typically less than 50 beats per minute if bradyarrhythmia.” An arrow points downward to box 2, which is green and titled “Identify and treat underlying cause.” It contains several points of text:
- Maintain patent airway; assist breathing as necessary.
- Oxygen (if hypoxemic).
- Cardiac monitor to identify rhythm; monitor blood pressure and oximetry.
- I.V. access.
- 12-Lead ECG if available; don’t delay therapy.
- Acutely altered mental status?
- Signs of shock?
- Ischemic chest discomfort?
- Acute heart failure?
- Transcutaneous pacing or
- Dopamine infusion or
- Epinephrine infusion.