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https://www.proacls.com - ACLS Certification Training Videos **Get $20 off your certification or recertification with the discount code youtubeacls2017 If you have a patient that is conscious and alert, with vitals of respirations 20, Heart rate 48 beats per minute and irregular, Blood Pressure 78/40, and spO2 94%, this patient is bradycardic and hypotensive. Since the patient is conscious, .5mg of atropine would be a good choice. If the patient became unconscious or the atropine was ineffective, transcutaneous pacing would be appropriate. The pacer would be started at 60 beats per minute. Also, the milliamps should start at 50. As the pacer is running, you would turn up the milliamps until the heart is captured. When there is consistent capture, depending on the intervals of the machine, turn up the milliamps 2-5 more to keep capture. Then the heart would be increased until symptoms improve. This is typically between 60-70 bpm. Check out all of ProTrainings' courses: https://www.protrainings.com For more videos like this or to get CPR Certified please visit https://www.procpr.org ProTrainings offers a variety of courses such as: Bloodborne pathogens: https://www.probloodborne.com Pet First Aid and CPR: https://www.catanddogfirstaid.com/ Anaphylaxis: https://www.proanaphylaxis.com/ HIPAA: https://www.prohipaa.com/ ACLS: https://www.proacls.com/ PALS: https://www.propals.io/ Follow us on Twitter: / procpr Like us on Facebook: / procpr Follow us on Instagram: / procpr