Atropine

ADULT:

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

1 mg IV/IO/IM every 3-5 minutes to a maximum of 3 mg (1mg/10mL)

NOTE - IM injections should only be done with the 1mg/1mL vials, do not use the Pre-filled form for IM injections

Organophosphate Poisoning / Chemical Agent Exposure:

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

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

NOTE - IM injections should only be done with the 1mg/1mL vials, do not use the Pre-filled form for IM injections

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

PEDS - Atropine