Brand Name: Atropair

Generic Name: Atropine Sulfate

Indications: Sinus bradycardia, peptic ulcer, exercise-induced bronchospasm
Drug Classification: Anticholinergic Agent, Antispasmodic Agent,
Ophthalmic Agent, Bronchodilator
Mechanism of Action: Blocks the action of acetylcholine at parasympathetic sites in
smooth muscle, secretory glands and the CNS; increases cardiac output, dries
secretions, antagonizes histamine and serotonin
Dosage: Neonates, Infants, & Children: Preanesthetic: Oral, IM, IV, SC
>5 kg: 0.02 mg/kg/dose 30-60 min preop then tid-qid
>5 kg: 0.01-0.02 mg/kg
Children: Inhalation: 0.03-0.05 mg/kg/dose tid-qid
Special Precautions: Spastic paralysis, Autonomic neuropathy, Prostatic disease,
biliary tract disease
Pregnancy Risk Category: C
Adverse Reactions:
GI: constipation, dry throat, impaired GI motility, xerostomia, dysphagia
Respiratory: dry nose
 Dermatologic: Dry, hot skin; Increased sensitivity to light
Endocrine & Metabolic: Decreased flow of breast milk
Contraindications: Hypersensitivity to atropine sulfate or any component; narrow-angle
glaucoma; tachycardia; thyrotoxicosis; obstructive disease of the GI tract;
obstructive uropathy
Form: INJ- 0.1 mg/mL-1 mg/mL; Ointment – 0.5%, 1% (3.5g); Tab – 0.4 mg
Nursing Responsibilities:
 Monitor Heart rate, blood pressure, pulse rate
 Assess Vital Signs
 Assess lung sounds
 Monitor intake and output
 Assess for abdominal distention
 Auscultate for bowel sounds