1. Monitor vital signs every 2-3 minutes.

2. If the patient has a ventricular rate of less than 50 beats/minute and signs of shock, administer Atropine Sulfate 0.5 mg, IV bolus.

3. If there is insufficient improvement in cardiac status, contact Medical Control for implementation of one or more of the following options:

MEDICAL CONTROL OPTIONS

OPTION A:

Repeat Atropine Sulfate 0.5 mg, IV bolus. (Maximum total dosage is 2.0 mg.)

OPTION B:

Administer Isoproterenol, 2.0 mcg/min, IV drip. If there is insufficient improvement in hemodynamic status, the infusion rate may be increased until desired therapeutic effects are achieved or adverse effects appear. (Maximum rate is 10 mcg/min, IV drip.)

OPTION C:

Perform Thump Pacing.

OPTION D:

Transportation decision.

Contents