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Wheeless' Textbook of Orthopaedics
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Treatment of Bradycardia


- See Diff Dx - If hypotensive (SBP <90 mm Hg) place in T berg; - If HR < 40/min, ready Atropine 1mg premixed syringe; - consider initial dose of 0.4 or 0.5 mg IV; - if this is not effective consider isoproterenol; - or instead of isoproterenol consider transvenous pacing; - if blood pressure is satisfactory, without dizziness, light headedness, or disordered mentation, cardiac output is likely to be adequate; - even if CO is adequate, Bradycardia is treated if less than 45/min;



Original Text by Clifford R. Wheeless, III, MD.