Atropine Sulfate

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Author:
bryantfire
ID:
249401
Filename:
Atropine Sulfate
Updated:
2013-11-27 20:48:01
Tags:
Drugs UAV Paramedic
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  1. Atropine Sulfate
       Classification
    • -Cholinergic blocking agent
    • -Antidysrhythmic agent
    • -Parasympatholytic
  2. Atropine Sulfate
       Action
    • -Allows bronchial dilation and decreases respiratory tract secretions
    • -Inhibits parasympathetic stimulation by blocking acetylcholine receptors
    • -Decreases GI secretions
    • -Decreases vagal tone resulting in increase HR and AV conduction
  3. Atropine Sulfate
       Indications
    • -Symptomatic bradycardia
    • -High degree AV block
    • -Organophosphate poisoning
    •   (pesticide/nerve agent)
  4. Atropine Sulfate
       Contraindications
    Neonates
  5. Atropine Sulfate
       Adverse Effects
    • Cardio
    • Tachycardia
    • Increased myocardial O2 demand

    • Neuro
    • Seizures
    • Dizziness
    • Dilated pupils

    • GI
    • Difficulty swallowing
    • Dry mouth

    • General
    • Hot/dry skin
    • Worsens glaucoma
  6. Atropine Sulfate
       Administration
    • Bradycardia
    • 0.5-1mg IV/IO
    • Rpt every 3-5 mins to max .04mg/kg

    • Organophosphate (pesticide/nerve)
    • 2mg IV/IO/IM
    • Rpt every 5 mins until pt is breathing adequately and secretions begin to dry
  7. Atropine Sulfate
       Pediatrics
    • Bradycardia
    • .02mg/kg IV/IO.
    • Rpt every 3-5 mins to max of .04mg/kg.

    • Organophosphate (pesticide/nerve)
    • 0.05mg/kg IV/IO/IM.
    • Rpt every 5 mins until pt is breathing adequately and secretions begin to dry.
    • Max single dose 2mg.
  8. Atropine Sulfate
       Onset
       Duration
    • Onset
    • 2-5 mins

    • Duration
    • 20 mins
  9. Atropine Sulfate
       Precautions
    -Administer supplemental O2 and monitor rhythm frequently. The increased HR may increase myocardial O2 demand and result in ischemia and dysrhythmias.
  10. Atropine Sulfate
       Note
    -May cause paradoxical slowing of HR if less than the therapeutic dose is given. (0.3mg adults, 0.1mg peds)

    -Worsens glaucoma due to pupillary dilation

    -Pupil reaction may not be a reliable indicator for hypoxic brain damage after atropine admin.

    -Rule out hypoxia as cause of bradycardia in pediatric pts prior to admin.

    -High doses of atropine may be reqd in organophosphate poisoning.

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