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Oregon Paramedic
Paramedic class pharmacology (Atropine)
7
Pharmacology
Undergraduate 1
09/27/2012

Additional Pharmacology Flashcards

 


 

Cards

Term

ATROPINE

 

TYPE OF DRUG?

Definition

 

antimuscarinic

antidysrhythmic

anticholinergic

parasympatholytic

Term

ATROPINE

 

Mechanism of action?

Definition

Blocks acytlcholine at parasympathetic neuroeffector sites on AV and SA nodes

 

Increases cardiac output, heart rate by blocking vagal stimulation

Term

ATROPINE

 

Indications?

Definition

Symptomatic bradycardia <60 bpm

Reversal of anticholinesterase agents (organophosphates)

Asthma

RSI (Peds)

 

Bronchodilator s/s SLUDGE

SALIVATION (Saliva)

Lacrimation (Tears)

Urination (Peeing)

Defecation (Bowel movement)

Gastric Motility ( Upset stomach)

Emesis ( Vomiting)

Term

ATROPINE

 

Contraindications?

Definition
Tachycardia
Term

ATROPINE

 

Precautions?

Definition

Increases myocardial (heart muscle) oxygen demand

 

CHF (congestive heart failure)

 

HTN ( hypertension...elevated blood pressure)

 

May be harmful if used to treat AV block (MobitzII and 3rd degree block); doses less than the minimum may slow the heart rate.

 

 

Term

ATROPINE

 

Route and Dosage ?

Definition

Bradycardia: Adult IV 0.5 MG q 3-5 minutes.

                              max 0.03-0.04 mg/kg

Peds: 0.02 mg/kg (min dose 0.1 mg, max dose 0.5 mg)

 

Organophosphate poisoning: 2-5mg q 15 minutes until vital signs improve

 

Asthma: 0.4-2.0 mg/kg nebulized in 3 ml of saline

 

RSI: (pediatric) 0.02 mg/kg. Minimum 0.1 mg

Term

ATROPINE

 

 

Adverse reactions and side effects?

Definition

Dilated pupils

Dry mouth

Tachycardia

Paradoxical slowing in 3rd degree block

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