Atropine - Updated 10/1/2019

ADULT:

Symptomatic Bradycardia / 1st, 2nd, or 3rd degree heart block with hypo-perfusion:

 

0.5 mg IV every 3 minutes to a maximum of 3 mg (1mg/10mL)

 

Symptomatic Bradycardia / 1st, 2nd, or 3rd degree heart block with hypo-perfusion:

 

0.5 mg IM every 3 minutes to a maximum of 3 mg (1mg/1mL)

 

Organophosphate Poisoning / Chemical Agent Exposure:

 

2 mg IV May repeat IV once SO (1mg/10mL)

or

2 mg IM, May repeat once SO, if no IV or if Mark I / Duodote kit used (1mg/1mL)

PEDS:

1st, 2nd, or 3rd degree heart block with hypo-perfusion BHO:

0.02 mg/kg IV every 3 minutes to a max of 3 mg BHO (1mg/10mL)

0.02 mg/kg IV every 3 minutes to a max of 3 mg BHO (1mg/1mL)

 

Maximum single dose of 0.5 mg

Minimum single dose 0.1 mg

 

*** Atropine is NOT given SO for Symptomatic Bradycardia in pediatrics ***

 

Organophosphate poisoning / Chemical Agent Exposure:

 

0.02 mg/kg IV minimum dose of 0.1 mg IVP (Base may order higher dose) MRx1 SO (1mg/10mL)

Max single dose 2 mg

Any child over 5 kg gets max dose of 0.5 mg / 5 mL

 

0.05 mg/kg IM, MRx1 SO (1mg/1mL)

Max single dose 2 mg

Any child over 5 kg gets max dose of 0.5 mg / 0.5 mL

 

**Acute MI** - BHO

 

NOT Indicated:

- Bradycardia related to head injuries or Asystole.

- Adult Symptomatic Bradycardia = > 60 BPM

Call

M: 949-254-0942

O: 714-765-4035 

  • facebook
  • Twitter Clean