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EMR
EMT
AEMT
Paramedic
Extended
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
Atropine