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Atropine Class
Parasympatholytic
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Atropine Indications
- 1. Blocks acetylcholine receptors (decreases parasympathetic tone and increases heart rate)
- 2. decreases gastrointestinal secretions
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Atropine Indications
- 1. symptomatic bradycardia (PVC's hypotension, decreased LOC)
- 2. asystole and symptomatic heart block
- 3. organophosphate poisoning
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Atropine Contraindications
None
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Atropine Precautions
- 1. Total dose of .04 mg/kg or 3mg should not be exceeded except organophosphate poisoning
- 2. A Fib and A Flutter with rapid ventricular response
- 3. Glaucoma and COPD: Hypertension may worsen
- 3. Use with caution in 2 degree II and 3 degree heart blcok in AMI patients
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Atropine Side Effects
- 1. Palpitations and tachicardia
- 2. Headache, dizziness, anxiety
- 3. Dry mouth pupilary dilation and blurred vision
- 4. urinary retention
- 5. OD: Hot, blind, dry, red, mad
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Atropine Adult Dose
- 1. Bradycardia: .5-1mg every 3 to 5 minutes to max
- 2. Asystole: 1mg every 3 to 5 minutes to max
- 3. Organophosphate poisoning: 2-5mg
- (min dose .5mg)
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Atropine Route
IM, IV, ET
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Atropine How Supplied
prefilled syringe 1mg in 10mL
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Atropine Pediatric Dosage
NOT INDICATED IN NEWBORNS
- 1. Bradycardia: .01-.03mg per kg
- 2. Organophosphate Poisoning: .05mg/kg
- Min Dose: .01mg
- Max Dose: .5mg
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