Reversals/anticholinergic agents Flashcards
Atropine bolus dose
- 4 mg
0. 01 mg/kg
Atropine concentration
0.4 mg/ml
1 mg/ml
Atropine onset
60-90 seconds
Atropine considerations
+++ HR
+ CNS
- secretions
Glycopyrrolate bolus dose
- 2-0.4 mg
0. 01 mg/kg
Glycopyrrolate concentration
0.1 mg/ml
Glycopyrrolate onset
2-3 min
Glycopyrrolate duration
120-240 minutes
Glycopyrrolate considerations
++ HR
No CNS
– Secretions
Watch for anticholinergic side effects
Glycopyrrolate class
Anticholinergic
Atropine class
Anticholinergic
Nestigmine class
Anticholinesterases
Neostigmine dose
0.02-0.08 mg/kg
Neostigmine max dose
5 mg
Nestigmine concentration
1 mg/ml
Neostigmine onset
7 min
Neostigmine duration
55-75 min
Neostigmine metabolism
50/50 liver/renal
Usual neostigmine/glycopyrrolate dose
1 mg neostigmine/0.2 mg glycopyrrolate
Edrophonium dose
0.5-1 mg/kg
Edrophonium concentration
10 mg/ml
Edrophonium onset
1-2 min
Edrophonium duration
15-60 min
Edrophonium metabolism
70 renal/ 30 hepatic