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Bradycardic Arrhythmias (Symptoms (Shortness of breath, Fatigue, Chest…

- - - - Maintain pt airway; assist breathing as necessary, Oxygen, Cardiac monitor to identify rhythm; monitor vitals, IV access, 12 lead if available
      - Persistent bradyarrhythmia causing: hypotension, altered mental status, signs of shock, ischemic chest discomfort, acute heart failure
        
        No
        
        Monitor and observe pt
        
        Yes
        
        Atropine:
        
        If ineffective: Transcutaneous pacing, Dopamine infusion, or Epinephrine infusion.
        
        Consider
        
        Expert consultation, Transvenous pacing