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Medic > Atropine > Flashcards

Atropine Flashcards

1
Q

Class

A

Anticholinergic agent

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2
Q

Mechanism

A

Inhibits acetylcholine increasing heart rate

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3
Q

Indications

A 
Bradycardia with hypotension
Organophosphate poisoning
Nerve agent exposure
RSI in pediatrics
Beta blocker overdose
Calcium channel blocker overdose
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4
Q

Contraindications

A

Tachycardia
Unstable cardiovascular status in acute hemorrhage with myocardial ischemia
Narrow-angle glaucoma
Hypothermic bradycardia

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5
Q

Side effects

A 
Tachycardia
Headache/confusion
Palpitations
Dysrythmias 
Blurred vision
Flushed/hot dry skin
Decreased oral secretions
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6
Q

What happens if pushed too slowly or given at low doses?

A

Paradoxical bradycardia

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7
Q

Supplied in:

A

1mg to 10mL
0.1 mg/mL
Prefilled syringes

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8
Q

Adult dose

Unstable bradycardia

A

0.5 mg/kg IV or IO every 3-5 minutes

Maximum: 0.04 mg/kg or 3mg total (6 doses)

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9
Q

Pediatric dose

Unstable bradycardia

A

0.02 mg/kg IV/IO

Minimum: 0.1mg
Maximum single: 0.5mg dose (can repeat once)
Maximum total: 1mg

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10
Q

Adult organophosphate poisoning

A

2-4mg

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11
Q

Pediatric RSI

A

0.01-0.02 mg/kg IV/IO

Minimum: 0.1mg
Maximum: 0.5mg

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12
Q

Peak effect

A

1-2 minutes

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13
Q

Duration

A

2-6 hours

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14
Q

Adolescent dose

Unstable bradycardia

A

0.5mg IV/IO every 3-5 minutes

Minimum dose: 0.1mg
Maximum single: 1mg
Maximum total: 3mg

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Medic (2 decks)

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