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20 Cards in this Set

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CLASS
PARASYMPATHOLYTIC (ANTICHOLINERGIC)
ACTIONS
1. BLOCKS ACETYCHOLINE RECEPTORS( DECREASES PARASYMPATHETIC TONE AND THUS INCREASES HEART RATE)
2. DECREASES GI SECRETIONS
INDICATIONS
1. SYMPTOMATIC BRADYCARDIA
2. PVC'S
3. HYPOTENSION
4. DECREASED LOC
5. ASYSTOLE AND SYMPTOMATIC HEART BLOCKS
5. ORGANOPHOSPAHTE POISONING
CONTRAINDICATIONS
NONE WHEN USED IN EMERGENCY SITUATIONS
PRECAUTIONS
1. TOTAL DOSE OF 0.04 MG/ KG OR 3 MG 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 II AND 3RD DEGREE HEART BLOCKS IN AMI PT
SIDE EFFECTS
1. PALPITATIONS
2. TACHYCARDIA
3. DRY MOUTH
4. PAPILLARY DILATION
5. BLURRED VISION
6. URINARY RETENTION (ESPECIALLY OLDER MALES)
S/S OF OVERDOSE
HOT, BLIND, DRY, RED, AND MAD
"HOT AS A HARE, BLIND AS A BAT, DRY AS A BONE, RED AS A BEET, MAD AS A HATTER"
BRADYCARDIA DOSAGE
0.5-1.0 MG EVERY 3-5 MINUTES TO MAX
ASYSTOLE DOSAGE
1 MG EVERY 3-5 MINUTES TO MAX
ORGANOPHOSPHATE POISONING DOSAGE
2-5 MG
MINIMUM DOSAGE
0.5 MG
MAXIMUM DOSAGE
3 MG
ROUTE
1. IV
2. IM
3. ET
HOW SUPPLIED
PREFILLED SYRINGE 1.0MG/ 10 ML
PEDIATRIC BRADYCARDIA DOSAGE
0.01-0.03MG/ KG
PEDIATRIC ORGANOPHOSPHATE
0.05 MG/ KG
MINIMUM PEDIATRIC DOSAGE
0.1 MG
MAXIMUM PEDIATRIC DOSAGE
0.5 MG
PEDIATRIC NEWBORN DOSAGE
NOT INDICATED IN NEWBORNS
REASON FOR AVOIDANCE IN HIGH DEGREE HEART BLOCKS
CAUSES 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 OCCURING ORIGINATED FROM DAMAGED MYOCARDIUM TISSUE, SINCE THERE IS A DAMAGE TO HIS AND PURKINJE PATHWAYS