14.10 Atropine (Atropen)

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Generic Name

Atropine

Trade Name

Atro-pen

Indication

Decreases oral and respiratory secretions, treats sinus bradycardia and heart block, treatment of bronchospasm

Action

Atropine is an anticholinergic which means that it inhibits the effects of the para-sympathetic nervous system, specifically acetylcholine. This inhibition causes increase in HR, bronchodilation, decreased GI and respiratory secretions.

Therapeutic Class

Antiarrhythmic

Pharmacologic Class

Anticholinergic, antimuscarinic

Nursing Considerations

• Avoid in acute hemorrhage, tachycardia, and angle closure glaucoma
• Monitor patient for tachycardia and palpitations
• May cause urinary retention in elderly patients
• Patients may experience constipation due to slowed GI motility

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