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Junctional escape rhythm

  • Labs

    • BMP, dig level, BNP
  • Tx

    • tx underlying cause
    • if unstable:
      • atropine 0.5 mg IV q5min x 4 doses
      • if unresponsive to atropine, give transcutaneous pacing
  • ROS underlying cause

    • CHF
    • myocarditis
    • MI (chest pain, diaphoresis)
    • hyperkalemia (vomiting, diarrhea, paralysis)
    • digoxin
  • EKG

    • bradycardia, narrow, regular, HR 40-60

  • Print | Citations

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