2015 Trumbull Memorial Hospital Demo
Atropine
Atropine
Action
Onset
Anticholinergic Increases heart rate
Peak effect 2-4 minutes
Indications Symptomatic Bradycardia (Adult and Ped) Toxic Overdose of Organophosphates (Adult and Ped) Rapid Sequence Intubation (RSI)
Adult Dose Cardiac: 0.5 mg IV/IO Toxic Exposure: 2-5 mg IV/IO every 15 minutes as needed to control secretions and heart rate
Pediatric Dose Cardiac: 0.02 mg/kg IV/IO, minimum dose 0.1mg and maximum dose 0.5 mg Toxic Exposure: 0.01 mg/kg IV/IO every 15 minutes, maximum single dose 2 mg and max dose total 6 mg
Contraindications Hypersensitivity, glaucoma, tachycardia, acute hemorrhage with cardiac complications, obstructive disease
Adverse Reactions Cardiovascular: Palpitations, bradycardia, tachycardia CNS: Headache, flushing, nervousness, drowsiness, weakness, dizziness, fever, mental confusion (elderly), restlessness, tremor Gastrointestinal: Nausea, vomiting, heartburn Precautions May produce drowsiness, dizziness, or blurred vision. Use cautiously in patients with asthma or allergies. Use caution in histories of coronary artery disease, CHF, cardiac arrhythmias, tachycardia, hypertension, infants, small children, or debilitated patients with chronic lung disease Considerations Use caution in patients with asthma, allergies, CAD, CHF, HTN, infants, small children, and persons with down’s syndrome
196
EMR
EMT
AEMT
Paramedic
Extended
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