ATROPINE Flashcards
ATROPINE
Name/Class: ATROPINE/Parasympatholytic
Description: Atropine blocks the parasympathetic nervous system, specifically the vagal effects on heart rate. May increase myocardial oxygen demand. Decreases airway secretions.
Indications: Hemodynamically significant bradycardia, and organophosphate poisoning.
Contraindications: None in the emergency setting. 2nd degree type 2 and above heart blocks are class 2B (not recommended)
Precautions: AMI, glaucoma.
Dosage/Route: Symptomatic bradycardia: 0.5 mg -1 mg IV/IO ET. Repeat 3 to 5 min to 3 mg.
Pedi: 0.02 mg/kg IV, 0.04 mg/kg ET, may repeat in 5 min up to 1 mg
Organophosphate poisoning: 2 to 5 mg IV/IM/IO/10 to 15 min.
Pedi: 0.05 mg/kg IV/IM/IO/ 10 to 15 min.