Indications:
- Anticholinergic drug used in bradycardias
- Organophosphate poisoning
-
Pediatric:
- Symptomatic bradycardia secondary to AV block or vagal activity 2nd line after Epinephrine for bradycardia due to poor perfusion or hypotension.
Contraindications:
- Tachycardia
- Hypertension (rule out head injury first)
Side Effects:
- tachycardia
- dry mouth
- thirst
- flushing of skin
- blurred vision
- headache
- pupillary dilation
- urine retention
Adult Dosage:
-
- 1 mg IV administration; repeat Q 3-5 minutes to a total dose of 3 mg
- Organophosphate Poisoning:
-
- To block parasympathetic response:
-
-
- 1 - 2 mg; IV dose repeated Q 5 minutes until a decrease in secretions are observed or to total dose of 6 mg.
Pediatric:
-
- 0.02 mg/kg (0.2 ml/kg) IV, Minimum 0.1 mg,
- Maximum single dose 0.5 mg child; 1 mg adolescent.
- May be repeated once
- Organophosphate Poisoning:
-
- To block parasympathetic response:
-
-
- Children: 0.05 to 0.1 mg/kg Loading dose. Adolescents: 2 mg
- Repeat every 10 – 15 minutes until rales and bronchial secretions resolved.