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14 Cards in this Set
- Front
- Back
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Atropine Sulfate
Classification; |
*Parasympathetic blocker
*Vagolytic (parasympatholytic) *Anticholinergic *Sympathomimetic |
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Atropine Sulfate
Therapeutic Effects: |
*Inhibits parasympathetic stimulation by blocking acethycholine receptors in target organs
*Decreases vagal tone resulting in increased heart rate, SA automaticity, and AV conduction *Allows brochioles to dilate and decresses respiratory tract secreations. |
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Atropine Sulfate
Indications: |
*Hemodynamically unstable bradycardia, when pacing is not immediately available
*Asystole *PEA with rate< 60/minute *Pesticide posioning (organophosphates and carbamates) |
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Atropine Sulfate
Contraindications: |
Know hypersensitivity to the Drug
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Atropine Sulfate
Side Effects (Cardiovascular) |
tachycardia, increased O2 demand, bradycardia, increased Mobitz II and 3rd degree block
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Atropine Sulfate
Side Effects (Neurological) |
pupillary dilation, blurred vision, dizziness, confusion, restlessness, drowsiness, headache, photophobia, seizures
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Atropine Sulfate
Side Effects (Respiratory) |
dry mucus plugs
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Atropine Sulfate
Side Effects (Gastrontestinal) |
dry mouth, thirst, difficulty swallowing
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Atropine Sulfate
Side Effects (other) |
hot dry skin, worsens glaucoma
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Atropine Sulfate
Administration (Bradysrhythmias) |
IVP: 0.5mg rapid,while waiting for pace maker, q 3-5 min to mak of 3mg or 0.4 mg/kg
ET: 2-2.5 time IVP dose diluted with NSS to a minimum vol of 10ml, q 3-5 min to a max of 0.04 mg/kg |
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Atropine Sulfate
Administration (Asystole & PEA,60/min) |
IVP: 1mg rapid q 3-5 mins to a max of 3mg or 0.04mg/kg
ET: same as for Bradysrhythmias |
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Atropine Sulfate
Administration (pesticide Poisoning) |
IVP&IM: 2mg q 5-15 mins until patient is asymptomatic. No max dose
ET: 4mg diluted with NSS to a min vol of 10ml q 5 min until sign of therapeutic atropinization . No max dose |
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Atropine Sulfate
Signs of proper atropinization: |
*tidal vol or BVM compliance improves
*SOB & wheezing decreases *SPO2 and B/P improves *LOC may improve *skin and visible secretions dry |
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Atropine Sulfate
Pneumonic for signs of excessive Atropine administration: |
*Red as a beet
*Dry as a bone *Hot as a Pistol *Blind as a Bat *Mad as a Hatter |
