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ATROPINE

Name/Class: ATROPINE/Parasympatholytic

Description: Atropine blocks the parasympathetic nervous system, specifically the vagal effects on heart rate. May increase myocardial oxygen demand. Decreases airway secretions.

Indications: Hemodynamically significant bradycardia, and organophosphate poisoning.

Contraindications: None in the emergency setting. 2nd degree type 2 and above heart blocks are class 2B (not recommended)

Precautions: AMI, glaucoma.

Dosage/Route: Symptomatic bradycardia: 0.5 mg -1 mg IV/IO ET. Repeat 3 to 5 min to 3 mg.

Pedi: 0.02 mg/kg IV, 0.04 mg/kg ET, may repeat in 5 min up to 1 mg

Organophosphate poisoning: 2 to 5 mg IV/IM/IO/10 to 15 min.

Pedi: 0.05 mg/kg IV/IM/IO/ 10 to 15 min.


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