Atropine

Question 1

Atropine indications

Answer 1

Symptomatic bradycardia

Pretreatment is RSI

Question 2

Atropine contraindications

Answer 2

None in an emergency
Caution with asthma
Caution with narrow-angle glaucoma

Question 3

Atropine class

Answer 3

Anticholinergic

Question 4

Atropine adult dose for bradycardia

Answer 4

0.5mg IVO/ IO rapid bolus every 3-5 minutes as needed

Max 0.04 mg/kg or 3mg

Question 5

Atropine (max) adult dose for bradycardia

Answer 5

0.04 mg/kg or 3mg

Question 6

Atropine doses <0.5mg and slow bolus administration may result in

Answer 6

Paradoxical bradycardia

Question 7

Atropine adult pre-med dose in RSI

Answer 7

0.01 - 0.02 mg/kg

Max dose 0.1 - 0.5 mg/kg

Question 9

Atropine kinetics

Answer 9

Onset: seconds
Duration: 2-6hrs

Question 10

Atropine: avoid using with this drugs

Answer 10

Ipratropium (used to treat bronchospasm/ asthma exacerbations)

Question 11

Atropine adverse effects

Answer 11

Minor: blurred vision, dilated pupils, dry mouth, drowsiness
Bigger shit: tachycardia, including SVT

Question 13

Atropine: describe the mechanism of action

Answer 13

Atropine is a parasympatholytic, which blocks the parasympatholytic nervous system, resulting in increased chronotropy (+HR)

Question 14

Atropine max adult dose in pretreatment RSI

Answer 14

0.1 - 0.5 mg