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15 Cards in this Set

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CLASS
parasympatholytic;
anticholinergic
ACTION (1-2)
1)Blocks acetylcholine receptor sites, thus decreasing the action of the parasypathetic nerve fibers
2)Onset of Action is immediate
ACTION (3-5)
3) Decreases Peristalsis
4) Increases CNS stimulation
5) Enhances both heart rate and atrioventricular conduction
USE (1-2)
1)Asystole
2)Bradycardia or high degree heart block which are hemodynamically unstable
USE (3-4)
3)PEA under 60 BPM
4)Organophosphate poisoning
SIDE EFFECTS
Drowsiness, dilated pupils, dry mouth; dry hot flushed skin; chest pain, palpitations, hypotension, tachycardia
CONTRAindications
Absolute: none in the Emerg setting
Relative: Glaucoma; suspected or evolving AMI
PRECAUTIONS/ INFORMATION (1-2)
1)Dries up muscouse plugs
2)Paradoxical bradychardia may occur is dose is les than .5mg adult & .1 child or if given to slowly.
PRECAUTIONS/ INFORMATION (3-4)
3)excessive doses can cause delirium,coma, v-fib or v-tach
4)use with caution in PT's with known or supsected MI because it may ^ the size of the infarct or promote arrhythmias
PRECAUTIONS/ INFORMATION (5-6)
5)May worsen 2nd* type II & 3rd* blocks
6) go straight to TCP, if TCP isn't available, use atropine with caution
PRECAUTIONS/ INFORMATION (7)
7) For ET admin. dilute with NS to a volume of 10mlfor adult and 5ml for peds
DRUG interactions
Anticholinergics may ^ vagal blockage; Antacids slow the adsorption of anticholinergics; Can be used c SUccinycholine to reduce salivation and potential for B-cardia during entubation
Preparations
1mg/10ml preload is most common
2mg auto-injector
0.4mg/ml multi dose vial
Adult dose
B-cardia: 0.5mgIV or 1mgET, rpt q every 3 to 5min for a max of 3mg
Asystole: 1mgIV or 2mgET S.AAbove
OGP 2mgIV or IM initially; no improve- 2-6mgIV call base hosp.
Pediatric does
Cardiac: .02mg/kgIV or IO rpt q3 to 5min for a max dose of .04mg
min dose .1mg;; max dose .5 mg
OGP:.02mg/kgIV or IO rpt in 3to5min c .05mg/kg, call basehosp