| Atropine: |
Anticholinergic (vagolytic) |
|
|
|
Drug of choice for symptomatic Bradycardia...
|
IVP DOSING |
| 0.5-1mg |
Give IVP. Can also give 1-2 mg with 10cc NS via ETT ("where the hell's that IV nurse!?...") May repeat (try again) in 3 to 5 minutes... |
|
2mg |
This is the MAX dose... Grab the crash cart and start pacing! |
|
OTHER DOSING |
| Mix in 3cc and give via nebulizer for ASTHMA | 0.5-2mg |
|
Give this amount IVP every 15 to 30 minutes (!) for organophosphate poisoning, or Carbamate insecticide poisoning until VS improve. Forget about your other patients for awhile... |
2-5mg |
Atropine
inhibits acetylcholine and blocks its vagal effects on the SA and AV nodes,
allowing for improved conduction and increased HR.
Side
Effects:
HR, VT/VF, HA, anxiety, altered psych/mental states, visual changes, dilated
pupils,
IOP, dry
mouth, N/V, urine retention, and impotence.
Contraindicated: in patients with tachycardia, myocardial ischemia, acute hemorrhage, asthma, myasthenia gravis, and glaucoma.
 |