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11 Cards in this Set
- Front
- Back
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CLASS
(ATROPINE) |
Parasympatholtic (Anticholinergic)
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ACTIONS
(ATROPINE) |
1. blocks acetycholine receptors (decreases parasympathetic tone and thus increases heart rate)
2. decreases gastrointestinal secretions |
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INDICATIONS
(ATROPINE) |
1. symptomatic bradycardia (PVC's, hypotension, or decreased LOC)
2. aystole and symptomatic heart blocks 3. organophoshate poisoning |
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CONTRAINDICATIONS
(ATROPINE) |
none when used in emergency situations
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ADULT DOSAGE
(ATROPINE) |
1. bradycardia: 0.5-1.0 mg every 3-5 minutes to max
2. aystole: 1 mg every 3-5 minutes to max 3. organophosphate poisoning: 2-5 mg MINIMUM DOSE: 0.5 mg MAXIMUM DOSE: 3 mg |
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ROUTE
(ATROPINE) |
IV, ET, IM
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PEDIATRI DOSAGE
(ATROPINE) |
NOT INDICATED IN NEWBORNS
1. bradycardia: 0.01-0.03 mg / kg 2. organophosphate poisoning: 0.05mg/kg MINIMUM DOSE: 0.1 mg MAXIMUM DOSE: 0.5 mg |
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PRECAUTIONS
(ATROPINE) |
1. total dose of 0.04 mg/kg or 3mg should not be exceeded except in cases of organophosphate poisonings
2. A-fib & A-flutter with rapid ventricular response 3. glaucoma & COPD: hypertension can worsen 4. use with caution in 2nd degree and 3rd degree heart block in AMI patients |
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SIDE EFFECTS
(ATROPINE) |
1. palpitations and tachycardia
2. headache, dizziness and anxiety 3. dry mouth, papillary dilation and blurred vision 4. urinary retention (especially older males) 5. OVERDOSE: hot, blind, dry, red, & mad "hot as hare, blind as a bat, dry as a bone, red as a beet, and mad as a hatter" |
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HOW SUPPLIED
(ATROPINE) |
prefilled syringe: 1.0 mg/ 10ml
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NOTE: REASON FOR AVOIDANCE IN HIGH DEGREE HB'S
(ATROPINE) |
Atropine cause an increased atrial rate and can cause:
1. decreased ventricular escape beats 2. increased activity from damaged muscle cells; This causes an increased incidence of VF or VT to occurring originated from damaged myocardium tissue, since there is a damage to His and Purkinje Pathways |
