Atropina fx
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ANTICOLINERGICODra. Conny Nuria Rodriguez TorresResidente de 1° año de AnestesiologíaHospital Regional de Ica
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Adultos: Preanestesia: 0,3-1,2 mg sc. o im. 30 min antes de la anestesia; si se
utiliza endovenosa, 5 min antes. Bradicardia: 0,5-1 mg ev., repetidos cada 3-5 min hasta normalizacion
de la FC o máximo de 0,04 mg/kg (2-3 mg); repetir si preciso a intervalos de 4-6 h. Dosis inferior a 0,5 mg pueden causar bradicardia paradojica.
Asistolia: 1 mg ev. en bolus, repetir cada 3-5 min si fuera necesario, hasta un máximo de 0,04 mg/kg.
Antimuscarinico: 0,3-1,2 mg/4-6 h im., sc., ev. Antidoto de organofosforados: 2-4 mg ev. inicialmente; despues 2
mg/5-10 min hasta desaparicion de sintomas muscarinicos. Antidoto de inhibidores de colinesterasa: 2-4 mg ev.; posteriormente
2 mg repetidos cada 5-10 min hasta desaparicion de sintomas muscarinicos o signos de sobredosis atropinica.
Broncospasmo: inhalacion de 0,025-0,05 mg/kg/dosis cada 4-6 h segun necesidad (maximo: 2,5 mg/dosis).
Solucion oftalmica: 1%: instilacion de 1-2 gotas 1 h antes del procedimiento.
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– Ninos: Preanestesia: 0,01-0,02 mg/kg/dosis im., ev. o sc. repetidos cada
4-6 h (minimo 0,1 mg/dosis; maximo 0,4 mg/dosis). Broncodilatacion: 0,03-0,05 mg/kg/dosis inhalado cada 6-8 h. Reanimacion cardiopulmonar (RCP): 0,01-0,03 mg/kg/dosis ev. o
intratraqueal o intraosea cada 2-5 min hasta tres dosis, si precisa (dosis minima 0,1 mg; maximo por dosis: 0,5 mg en ninos y 1 mg en adolescentes). Dosis total inferior a 1 mg en ninos e inferior a 2 mg en adolescentes.
Intoxicacion por organofosforados: ninos menores de 12 anos: 0,02-0,05 mg/kg/10-20 min ev. hasta efectos atropinicos, y despues cada 1-4 h para mantener dichos efectos al menos 24 h; ninos mayores de 12 anos: 1-2 mg/dosis de igual manera.
Oftalmico: solucion 0,5%: instilacion de 1-2 gotas 2/dia durante 1-3 dias antes del procedimiento.
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GRACIAS….