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What is the trade name of atropine sulfate?
isopto atropine, atropine-care, ocu-tropine
What is the class of atropine?
What is the mechanism of action for atropine?
inhibits the action of acetylcholine at postganglionic parasympathetic neuroeffector site. Increases heart rate in symptomatic bradydysrhythmias Q
What are the indications of atropine?
-hemodynamically symptomatic bradycardias
-organic phosphate poisoning
What are the contraindications of atropine?
-none when used as antidote to nerve agent
What is the adult dose for atropine?
-brady-dysrhythmias: 0.5mg every 5 in to a maximum of 0.04mg/kg or 3mg total dosage
-organic phosphate poisoning- 0.5-1mg boluses, titrating until s/s resolve
What is the pediatric dose for atropine?
brady-dysrhythmias: 0.02 mg/kg (0.1mg minimum dose). May be repeated every 5 minutes to a max total dose of 1mg in a child and 2mg in an adolescent
What is the route for atropine?
IV, IO, IM
What are the precautions of atropine?
-if given in too small dose, or if given to slowly, bradycardia may worsen
-may have little effect in infranodal AV blocks (be prepared to pace or give epi)
What are the adverse reactions?
dryness of mouth and nose, blurred vision, dilated pupils, tachycardia, headache and restlessness
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