Atropine Sulfate

Question 1

Atropine Sulfate Class

Answer 1

Anticholinergic, parasympatholytic

Question 2

Atropine Sulfate Action

Answer 2

Blocks cholinergic receptors, thereby increasing chronotropy and dromotropy (increasing conduction through AV node and blocking vagal tone), causing bronchodilation, reduced respiratory secretions, and decreased GI secretions and motility

Question 3

Atropine Sulfate Indications

Answer 3

*Symptomatic bradycardia
*Asthma or COPD induced bronchospasm
*Organophosphate or nerve agent poisoning
*Premedication for rapid sequence intubation in pediatric patients with an increased risk of bradycardia

Question 4

Atropine Sulfate Contraindications

Answer 4

None in emergency setting, Hypothermic pts

Question 5

Atropine Adult dose - Bradycardia

Answer 5

0.5 mg IV/IO q PRN every 3-5 minutes, 3mg total max

Question 6

Atropine Adult dose - Antidote

Answer 6

2 mg q PRN every 3-5 min

Question 7

Atropine Pedi dose - Bradycardia

Answer 7

0.02 mg/kg with a single dose range of 0.1 mg (min dose