Atropine

Question 1

Atropine reasons given

Answer 1

given to reduce GI+oral secretions prior to surgery to prevent aspiration; also used to increase HR

Question 2

Atropine S/S

Answer 2

drowsiness, blurred vision, urinary hesitancy, dry mouth, & tachycardia

Question 3

Atropine routes

Answer 3

IM, SUBQ, IV

Question 4

Atropine adult dose for surgery

Answer 4

0.4-0.6 mg IV, IM, SUBQ 30-60 min pre-op

Question 5

Atropine adult dose for bradycardia

Answer 5

0.5 -1 m; may repeat as needed every 5 minutes but do not exceed 2 mg

Question 6

Atropine nursing implications

Answer 6

assess vital signs and ECG frequently during therapy
Monitor I & O in elderly & surgical pts; if you suspect urinary hesitancy do a bladder scan
Assess pt. routinely for abdominal distention and auscultate BS

Question 7

Antidote for atropine

Answer 7

physostigmine

Question 8

Nursing implementations

Answer 8

Flushing of face and trunk may occur for IM administrations for about 15-30
For IV push… flush with IV with saline, administer undiluted over 1 min (using the push pause technique), then flush again

slow administration of atropine will cause bradycardia