Atropine

Question 1

Atropine: Generic Name

Answer 1

Atropine Sulfate

Question 2

Atropine: Trade Name

Answer 2

Atropine

Question 3

Atropine: Action

Answer 3

Anticholinergic that inhibits acetylcholine at parasympathetic neuroeffector junction. ↑ HR from vagal effects on the SA and AV nodes.

Question 4

Atropine: Indications

Answer 4

Hemodynamically unstable bradycardia, organophosphate poisoning or nerve agent exposure, beta blocker or calcium blocker OD

Question 5

Atropine: Contraindications

Answer 5

Hypothermic bradycardia, narrow angle glaucoma

Question 6

Atropine: S.E.

Answer 6

Blurred vision, dry mouth/nose/eyes, GI reflux, N/V, paralytic ileus, tachyarrthythmias, and urinary rention

Question 7

Atropine: Supplied

Answer 7

0.1mg/mL total of 10mL to = 1mg of atropine, multi dose vial 20mL with 0.4mg/mL to a total of 8mg

Question 8

Atropine: Adult Dose

Answer 8

For bradycardia, 0.5mg to 1mg. IV q 3-5m PRN, up to a total of 3mg.

Organophosphate poisoning: 2-4mg repeated until BP andHR are stable. 5mL=2mg, 10mL=4mg

Question 9

Atropine: Ped Dose

Answer 9

Bradycardia/Asystole: Give 0.02mg/kg IV/IO/ET up to 0.5mg for child or 1mg for adolescent (minimum dose 0.1mg). May be repeated once in 5m.

Question 10

Atropine: Classification

Answer 10

Antiarrthythmic, anticholinergic, antidote

Question 11

Atropine: Precautions

Answer 11

Pregnancy safety: Cat. C
Usually not effective in 2nd degree block type II and 3rd degree block with wide QRS complexes. Antacids decrease absorption of med.