Atropine

Parasympatholytic / Anticholinergic

Atropine blocks the parasympathetic nervous system, specifically the vagal effects on the heart. It does not increase contractility but my increase myocardial oxygen demand. Decreases airway secretions.

• Hemodynamically Significant Bradycardia
• Baradyasystolic Arrest
• organophosphate Poisoning

None in the setting emergency

• Headaches / Dizziness
• ALOC
• Weakness
• Hypertension / Hypotension
• A Fib / V Fib
• Doubles the size of the MI

• Bradycardia
• - 0.5mg IVP / IO (may repeat as needed every 3-5 min)
• Max dose 3.0mg IVP / IO

PEDI 0.02mg/kg IV / IO

• Asystole / PEA (Below 60 BPM)
• - 1mg IVP / IO (may repeat as needed every 3-5 min)
• Max dose 3.0mg IVP / IO (2mg ET)

PEDI 0.02mg/kg IV / IO (if vagal induce)

• Organophosphate Poisoning
• - 2-5mg IV / IO / IM (may repeat as needed every 10-15 min)

PEDI 0.05mg/kg IV / IO / IM