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Drug Study

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MEDICATION CLASSIFICATION ACTION INDICATION CONTRAINDICATION ADVERSE NURSING

EFFECTS CONSIDERATION
Atropine Therapeutic: Atropine sulfate is a Given Tachycardia. Drowsiness, Instruct patient to
sulfate antiarrhyth potent operatively confusion, take as directed.
mics parasympatholytic. It to Hypersensitivity. blurred vision, Take missed
inhibits actions of decrease tachycardia, doses as soon as
Pharmacolog acetylcholine at oral and Unstable palpitations, remembered
ic: postganglionic respiratory cardiovascular dry mouth, unless almost
anticholinerg parasympathetic secretions. status in acute constipation, time for next
ics, neuroeffector sites, hemorrhage urinary dose. Do not
antimuscarin primarily at muscarinic Hemodyna with myocardial hesitancy, double doses.
ics receptors. Small doses mically ischemia. retention.
inhibit salivary and significant May cause
bronchial secretions, bradycardi drowsiness.
moderate doses dilate a. Caution patients
pupils and increase to avoid driving
heart rate. Large doses Asystole. or other activities
decrease GI motility, requiring
inhibit gastric acid alertness until
secretion. Blocked response to
vagal effects result in medication
positive chronotropy known.
and positive
dromotropy (limited or
no inotropic effect). In
emergency care, it is
primarily used to
increase the heart rate
in life-threatening
bradycardias.
Dose/Administration

Bradydysrhythmias
Adult
0.5 – 1.0 mg IV, may be repeated at 5 min intervals until desired rate achieved. (max 0.03-0.04mg/kg)
Pediatric
0.02 mg/kg IV, IO, ET(diluted to 3-5ml). Min dose 0.1mg; max single dose fo 0.5 mg for a child and 1.0 mg for an adolescent;
may be repeated in 5 minutes for a max total fo 1.0 mg for a child and 2.0 mg for an adolescent.

Asystole
Adult
1.0 mg IV, ET, (1-2 mg diluted to a total of 10ml); may be repeated every 3-5 minutes (max 0.03 – 0.04mg/kg)
Pediatric
unknown efficacy

PEA
Adult
1 mg IV (if bradycardic), repeat every 3-5 minutes, max 0.03 – 0.04mg/kg.
Pediatric
unknown efficacy

Anticholinesterase Poisoning
Adult
2 mg IV push every 5-15 minutes to dry secretions. No max dose.
Pediatric
0.05 mg/kg/dose (usual dose 1-5 mg) IV, may be repeated in 15 minutes.

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