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- Shock the patient
- Administer adenosine
- Transcutaneous pacing
- Administer nitro
If a client is bradycardic and not responding to atropine, any of the following are exceptable next steps: Dopamine infusion, Epinephrine infusion, transcutaneous pacing. Adenosine stops the heart, this is not a shockable rhythm, and nitroglycerin is indicated for HTN, not bradycardia- this would be contraindicated in bradycardia.
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