Question

EMS brings a 66-year-old man with symptomatic bradycardia (HR 30/min) and hypotension. Transcutaneous pacing is not immediately available. According to current ACLS algorithms, which medication and dose should be given first?

Accepted Answer

Atropine 1 mg IV; may repeat every 3-5 min to a maximum of 3 mg

Answer

Epinephrine 1 mg IV push

Answer

Adenosine 6 mg IV push

Answer

Dopamine 2 mcg/kg/min infusion

Answer

Amiodarone 150 mg IV over 10 minutes

Practice question

EMS brings a 66-year-old man with symptomatic bradycardia (HR 30/min) and hypotension. Transcutaneous pacing is not immediately available. According to current ACLS algorithms, which medication and dose should be given first?