{"id":152,"date":"2025-10-04T18:25:20","date_gmt":"2025-10-04T16:25:20","guid":{"rendered":"https:\/\/infirmieresspi.com\/?p=152"},"modified":"2025-10-04T18:34:49","modified_gmt":"2025-10-04T16:34:49","slug":"bradycardie-tachycardie-en-sspi-conduite-initiale","status":"publish","type":"post","link":"https:\/\/infirmieresspi.com\/?p=152","title":{"rendered":"Bradycardie \/ Tachycardie en SSPI \u2014 conduite initiale"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"152\" class=\"elementor elementor-152\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c351000 e-flex e-con-boxed e-con e-parent\" data-id=\"c351000\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-d549b18 elementor-widget elementor-widget-html\" data-id=\"d549b18\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t\t<section class=\"isspi-doc\">\r\n  <style>.isspi-doc{--ink:#0f172a;--muted:#475569;--border:#e5e7eb;font-family:system-ui,-apple-system,Segoe UI,Roboto,Helvetica,Arial,sans-serif;color:var(--ink)}.isspi-doc h1{margin:.2rem 0 .6rem}.isspi-doc h2{margin:1.1rem 0 .45rem;border-bottom:2px solid var(--border);padding-bottom:.25rem}.isspi-doc ul{margin-left:1.2rem}.isspi-doc ol{margin-left:1.2rem}.isspi-doc .kicker{letter-spacing:.12em;text-transform:uppercase;font-weight:800;color:var(--muted);font-size:.85rem}.isspi-doc .warning{border-left:4px solid #f59e0b;background:#fff7ed;padding:.8rem;border-radius:.5rem}.isspi-doc .danger{border-left:4px solid #ef4444;background:#fef2f2;padding:.8rem;border-radius:.5rem}.isspi-doc small{color:var(--muted)}<\/style>\r\n  <p class=\"kicker\">Fiche SSPI<\/p>\r\n  <h1>Bradycardie \/ Tachycardie en SSPI \u2014 conduite initiale<\/h1>\r\n\r\n  <h2>Objectif<\/h2>\r\n  <p>Identifier la situation, s\u00e9curiser le patient et d\u00e9clencher la prise en charge selon le protocole local.<\/p>\r\n\r\n  <h2>V\u00e9rifs imm\u00e9diates<\/h2>\r\n  <ul>\r\n    <li>Patient identifi\u00e9, monitorage pos\u00e9\/corrig\u00e9 (TA, FC, FR, SpO\u2082, ECG).<\/li>\r\n    <li>Voies veineuses fonctionnelles; O\u2082 selon prescription.<\/li>\r\n    <li>Douleur, anxi\u00e9t\u00e9, frissons, hypoxie, hypovol\u00e9mie, m\u00e9dicaments r\u00e9cents ?<\/li>\r\n  <\/ul>\r\n\r\n  <h2>Bradycardie (&lt; 50\/min) \u2014 pas \u00e0 pas<\/h2>\r\n  <ol>\r\n    <li>\u00c9valuer perfusion (TA, \u00e9tat de conscience, marbrures).<\/li>\r\n    <li>Corriger causes simples : hypoxie (O\u2082), hypervagotonie (douleur, naus\u00e9es).<\/li>\r\n    <li>Informer l\u2019anesth\u00e9siste. Pr\u00e9parer mat\u00e9riel\/m\u00e9dicaments selon protocole.<\/li>\r\n    <li>Tra\u00e7abilit\u00e9 : heure, FC\/TA, gestes, r\u00e9ponse.<\/li>\r\n  <\/ol>\r\n\r\n  <h2>Tachycardie (&gt; 100\u2013110\/min) \u2014 pas \u00e0 pas<\/h2>\r\n  <ol>\r\n    <li>Rechercher douleur, hypoxie, hypovol\u00e9mie, frissons, PONV, anxi\u00e9t\u00e9.<\/li>\r\n    <li>V\u00e9rifier saignement\/pansement, drains, diur\u00e8se si surveill\u00e9e.<\/li>\r\n    <li>Informer l\u2019anesth\u00e9siste si persistant ou signes de mauvaise perfusion.<\/li>\r\n    <li>Tra\u00e7abilit\u00e9 compl\u00e8te.<\/li>\r\n  <\/ol>\r\n\r\n  <h2>\u00c0 alerter sans d\u00e9lai<\/h2>\r\n  <div class=\"danger\">Alt\u00e9ration de conscience, hypotension, douleur thoracique, SpO\u2082 basse persistante, saignement actif, rythme anormal \u00e0 l\u2019ECG.<\/div>\r\n\r\n  <p><small>\u26a0\ufe0f Fiche p\u00e9dagogique. Se conformer aux protocoles anesth\u00e9sie\/SSPI et aux prescriptions.<\/small><\/p>\r\n<\/section>\r\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Fiche SSPI Bradycardie \/ Tachycardie en SSPI \u2014 conduite initiale Objectif Identifier la situation, s\u00e9curiser le patient et d\u00e9clencher la [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":175,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center 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