ACLS Bradycardia Quiz #2 - Learn & Master ACLS/PALS

Comments

  1. Jeckson Mureri says

    “Atropine dose of less than 0.5mg can worsen the bradycardia where as high doses can cause tachycardia”, now that the new dose for Atropine was changed from 0.5 to 1mg every 3 to 5 mins, how much does is high enough to cause tachycardia, initially they were referring to anything more than 0.5mg.
    Reference Questions 6

    • ACLS says

      The literature still states that 0.5 mg and lower they have a paradoxical effect and cause bradycardia. There is no change with regard to this fact. I imagine that your next question will probably be, “why did the American Heart Association change the dose to 1 mg.” I have not been able to find A good answer to that question.

      Kind regards,
      Jeff

    • ACLS says

      The new guidelines have adjusted the single atropine dose to 1mg rather than 0.5mg. The Max. cumulative dose remains 3mg. Kind regards, Jeff

  2. steveahm@comcast.net says

    Jeff – Please clarify the following: question #10 Brady Quiz #3. Correct answer per site for correct dose of Atropine for brady algorithm = 1.0 mgm IVP and may repeat x 3: yet, both the bradycardia algorithm in the manual and the drug reference at the end of the manual, stipulate the correct dose is Atropine is 0.5 mgm IVP MR repeat x 3. I know in practice I frequently see either 0.5 mgm 0R 1.0 mgm ordered. I find this discreption problematic as it could be a precursor for error. Please clarify the rationale for the correct answer. Many thanks and kudos to you and your team for this remarkable reference site!

    • ACLS says

      I think you may have caught those pages right in the middle of when I was doing my editing for the new guidelines.

      The bradycardia section of the website is now completely up-to-date for the new guidelines.

      My apologies for any inconvenience or discrepancy that you ran into.

      Kind regards,
      Jeff

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