Atropine Flashcards

1
Q

Intoduction

A
  • Anticholinergic antagonist, alkoloid that increases heart rate
  • Can reverse the effects of vagel overdrive
  • Increase the firing of the SA Node
  • Enhances AV conduction
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2
Q

Presentation

A
  • Pre filled syringe 1mg/1ml

- Ampoule 600mcg /1ml

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3
Q

Why would you give the drug

A
  • Symptomatic bradycardia in the presence of these signs
  • Absolute bradycardia <40 bpm
  • Systolic BP below expected for age
  • Paroxysmal ventricular arrthymias requing suppression
  • Inadequate perfusion causing confusion
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4
Q

Dose

A
  • IV 12yr< 600mcg/ 1ml every 3-5mins, Max 3mg
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5
Q

Pharmacodynamics

A
  • Cholinergic receptor antagonist, inhibiting stimulation from the parasympathetic nerve by blocking effects of Acetylcholine
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6
Q

Pharmacokinetics

A
  • IV absorption
  • Widely distributed
  • Metabolised in the liver
  • Eliminated renally
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7
Q

Side effects

A
  • Dry mouth, visual blurring
  • Confusion
  • Tachycardia
  • Retenion of urine
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