What is the priority intervention for symptomatic bradycardia in a four year old child?
Note: If dealing with primary bradycardia (defined above), atropine is preferred as the first-choice treatment of symptomatic AV block. If dealing with secondary bradycardia, atropine is not indicated for the treatment of AV block, and epinephrine should be used.
What is considered bradycardia in a child?
For the purpose of this topic review, we define bradycardia as a heart rate measured in the awake state that is below the normal range for age (ie, <100 beats per minute [bpm] for infants, <80 bpm for toddlers and young children, <70 for school age children, and <60 for adolescents).
What is the most common cause of bradycardia in infants?
Hypoxemia – Hypoxemia an abnormally low level of oxygen in the blood, is the most common cause of sinus bradycardia. Hypoxemia causes depression of the sinus node or a conduction block. Hypoxemia may be caused by congenital heart defects, lung disease or respiratory failure.
What drug do you give for sinus bradycardia?
Atropine is useful for treating symptomatic sinus bradycardia and may be beneficial for any type of AV block at the nodal level. The recommended atropine dose for bradycardia is 0.5 mg IV every 3 to 5 minutes to a maximum total dose of 3 mg.
How is pediatric bradycardia treated?
Management of persistent bradycardia, as follows:
- Administer epinephrine.
- Consider atropine for increased vagal tone or primary atrioventricular block (AV) block.
- Consider transcutaneous pacing or transvenous pacing.
- Treat underlying causes.
What is the most appropriate medication for a 4 year old child with severe bradycardia and hypotension?
Administer epinephrine 0.01 mg/kg. Repeat every 3-5 minutes as needed. Consider atropine 0.02 mg/kg (min dose = 0.1 mg; max dose = 0.5 mg); Repeat one time if needed.
What is considered bradycardia in a 3 year old?
Defined as: < 100 bpm in kids 0-3 years old. < 60 bpm in kids 3-9 years old.
What is the difference between bradycardia and sinus bradycardia?
This can happen to anyone, but is more common in older adults. Sinus bradycardia can also occur along with sinus arrhythmia. Sinus arrhythmia is when the timing between heartbeats is irregular. For example, someone with sinus arrhythmia can have variation of the heartbeats when they inhale and exhale.
Can sinus bradycardia be cured?
Sinus bradycardia can be a sign of a problem with the heart or another medical condition. Sinus bradycardia can happen off and on in response to specific situations. Other times, it can be permanent.
What is the age range for pals?
PALS is aimed at the infant (under one) and child age groups (puberty or 8). After that age adult CPR is applicable and given body weights (averages) adult doses begin to safely apply.