Advanced Cardiovascular Life Support (ACLS) Practice Exam

How should non-symptomatic bradycardia be managed?

1. Administer atropine

2. Start pacing

3. Monitor and observe

4. Give intravenous fluids

The correct answer is: Monitor and observe

Non-symptomatic bradycardia, characterized by a heart rate that is lower than 60 beats per minute but without significant symptoms like hypotension, confusion, or signs of poor perfusion, should be managed by monitoring and observing the patient. This approach is important because non-symptomatic bradycardia often does not require immediate intervention, as the patient might be stable and may not exhibit any clinical signs that warrant treatment. Successful management involves closely monitoring vital signs, level of consciousness, and overall clinical status to ensure that the bradycardia does not worsen or become symptomatic. If the patient's condition changes, then more aggressive treatment strategies such as administering atropine or pacing may be considered, but the initial step is to carefully observe the patient’s status. This conservative approach is essential to avoid unnecessary interventions that may lead to complications if they are not warranted.