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Question: RSI

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Which of the following is true of atropine as pre-medication during rapid sequence intubation?
AirwayPharmResusc

pemsou5_wp • January 14, 2020


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  1. Kelly January 15, 2020 - 12:57 am Reply

    E) Atropine pre-medication is primarily indicated when giving a second dose of succinylcholine
    The 2015 AHA PALS stated that there was no evidence supporting routine use of pre-intubation atropine to blunt RSI-associated bradycardia, and also that evidence did not support the prior belief of a minimum dose of 0.1mg. It may be considered for higher risk situations such as when giving a second dose of succinylcholine. Atropine is relatively quick onset, and can be given a few minutes prior to the sedative and paralytic. The dose, when given, is 0.02 mg/kg, with a maximum of 0.5 mg in children, up to 1 mg in adults.

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