Practice Quiz

CCNS Certified Clinical Nurse Specialist

Category - Adult

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A clinical nurse specialist is caring for a patient admitted to the hospital due to a heart problem. The physician ordered atropine sulfate. Which of the following is true about this drug?
  1. It is always given for a heart rate less than 60 bpm
  2. Maximum total dosage is 0.03-0.04 mg/kg IV in the setting of cardiac arrest
  3. Should not be given via endotracheal tube
  4. Should be given trough slow IV push
Explanation
Answer - B - The one fact that is true about atropine sulfate is that it has a maximum dosage of 0.03-0.04 mg/kg IV in the setting of cardiac arrest. Other reminders for the drug includes: only give atropine for symptomatic bradycardias. Many physically fit people have resting heart rates less than 60 bpm. Atropine may be given via an endotracheal tube. Administering atropine slowly may cause paradoxical bradycardia.
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