Pediatric patients atropine

The release of a nerve agent near a school would put a strain on local prehospital and in-hospital resources, with airway equipment, supplies of 2-PAM and atropine, and pediatric intensive care beds being quickly used and depleted (Aghababian, 2002). Therefore, health care professionals should know how their community accesses the Strategic National Stockpile (SNS) and other resources to obtain medications and supplies in a timely manner. Additionally, hospitals should keep a 48-hour supply of pediatric equipment and pharmaceuticals on hand for their average daily census of pediatric patients, plus an additional 100 patients (Markenson Redlener, 2004). Stockpiled pharmaceuticals and equipment should be specifically for pediatric use or appropriately substituted for such use (Markenson Redlener, 2004). Hospital operations and preparedness policies should include pediatric care and treatment guidelines (Markenson Redlener, 2004). 

Although atropine use is standard, clinicians are sometimes faced with the dilemma of administering atropine to a pediatric patient with an elevated heart rate. Due to the fact that children may manifest tachycardia with toxic exposures... 

If an i.v. line cannot be placed, the intraosseous drug administration route can be used for pediatric patients during, for example, cardiopulmonary resuscitation (CPR) because drug delivery by this route is similar to that for i.v. administration.If drug or fluid deliver by this route is sluggish, a saline flush can be used to clear the needle. Intraosseous administration is used to deliver medications such as epinephrine, atropine, sodium bicarbonate, dopamine, diazepam, isoproterenol, phenytoin, phenobarbital, dexametha-sone, and various antibiotics. ... 

Pediatric Eye Disease Investigator Gronp. A comparison of atropine and patching treatments for moderate amblyopia by patient age, canse of amblyopia, depth of amblyopia, and other factors. Ophthalmology 2003 110 1632-1637 discnssion 1637-1638. 

Individuals exposed to vapor and exhibiting miosis only or miosis and rhinorrhea only do not usually require antidote treatment and will resolve without medical intervention (Cannard, 2006 ATSDR, 2007), but they should be observed. If rhinorrhea is problematic in these vapor-only cases, then ATSDR (2007) advises intramuscular atropine (0.05mg/kg pediatric 2.0 mg adult) to relieve signs, followed by patient discharge. If eye pain/headache or nausea is problematic in vapor-only... 

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