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