ATROPINE DRUG CARDS

Question 1

ATROPINE CLASS

Answer 1

VAGOLYTIC (ANTICHOLINERGIC AGENT)

Question 2

ATROPINE MOA

Answer 2

INHIBITS THE ACTION OF ACH AT POSTGANGLIONIC PARASYMATHETIC NEUROEFFECTOR SITES. INCRESES HR IN SYMPTOMATIC SINUS BRADY.

Question 3

ATROPINE INDICATIONS

Answer 3

SYMPTOMATIC BRADYCARDIA (HEMODYNAMICALLY UNSTABLE), ORGANOPHOSPHATE OR CARBAMATE INSECTICIDE POISONING, NERVE AGENT EXPOSURE, ASTHMA, RSI (IN PEDS), BETA BLOCKER OR CALCIUM CHANNEL BLOCKER OVERDOSE.

MOST LIKELY WILL NOT HAVE AN EFFECT FOR THE BLOCKER OD

Question 4

ATROPINE CONTRAINDICATIONS

HBC T H NaG UCvsAH/MI

Answer 4

TACHYCARDIA, HYPERSENSITIVITY, UNSTABLE CARDIOVASCULAR STATUS IN ACUTE HEMORRHAGE WITH MYOCARDIAL ISCHEMIA, NARROW ANGLE GLAUCOMA, HYPOTHERMIC BRADYCARDIA

HBC T H NaG UCvsAH/MI

Question 5

ATROPINE ADVERSE REACTIONS AND SIDE EFFECTS

Answer 5

DILATED PUPILS, INCREASED HR, VTACH, VFIB, HEADACHE, DRY MOUTH, NOSE, AND SKIN, DROWSINESS, BLURRED VISION, CONFUSION, N/V, URINARY RETENTION, CONSTIPATION, FLUSHED, HOT AND DRY SKIN, PARADOXICAL BRADYCARDIA WHEN PUSHED TOO SLOW OR GIVEN AT LOW DOSES

Question 6

ATROPINE DOSE AND ROUTE

Answer 6

SYMPTOMATIC BRADYCARDIA: 0.5-1.0 MG IVP Q-3-5 MINUTES UP TO 0.04MG/KG OR 3MG TOTAL.
PEDS: 0.02MG/KG, IV/IO, MINIMUM DOSE OF 0.1MG. MAY REPEAT ONCE

ORGANOPHOSPHATE/CARBAMATE POISONING: 1-5MG IV/IO, DOUBLE TO DOSE EVERY 5 MINUTES UNTIL SLUDGEM GOES AWAY. START 2MG IV/IO/IM FOR MODERATE S/S
PEDS: 0.05MG/KG, EVERY 5 MINUTES, UNTIL VITALS IMPROVE

ASHTMA: 0.4-2MG NEBULIZED IN 3ML OF SALINE.

Question 7

ATROPINE DURATION OF ACTION

Answer 7

ONSET: IMMEDIATE

PEAK: 2-4 MINUTES

DURATION: 4-6 HOURS