Consider pacing – preferable to atropine for patients with Mobitz II or 3rd degree HB with wide QRS – Consider sedation – Versed 2-4 mg/min IV/IM until patient’s speech slurs or a total of 8 mg. Lorazepam (Ativan™) 1 mg IV or 2 mg IM, repeatable x1 in 5 mins OR Midazolam (Versed) 2.5 mg IV, repeatable x1 in 5 mins
Dopamine drip (5-10 ug/kg/min) Epinephrine (2-10 ug/min) if pacing is ineffective
Consider fluid bolus
Consider Glucagon 2-5 mg IV, IM or SQ over 2-5 minutes in adults for suspected overdose of a beta-blocker or calcium channel blocker