Paramedic National Registry Practice

For a pediatric patient, what is the correct dose of Atropine?

1. 0.1 mg/kg IV

2. 0.02 mg/kg IV or 0.03 mg/kg ET Max 0.5 mg

3. 0.2 mg/kg IV

4. 0.01 mg/kg IV or 0.03 mg/kg ET

The correct answer is: 0.02 mg/kg IV or 0.03 mg/kg ET Max 0.5 mg

The correct dosing of Atropine for a pediatric patient is essential, as it varies from adults and can depend on the route of administration. The recommended dose of 0.02 mg/kg IV is particularly relevant in emergency situations, such as bradycardia, where rapid intervention is necessary. In this context, Atropine works as an anticholinergic agent that helps to increase heart rate by blocking the effects of the vagus nerve on the heart. The additional option for administration via the endotracheal (ET) route at 0.03 mg/kg, with a maximum dose of 0.5 mg, provides flexibility in situations where IV access may be difficult. The other choices may not align with the current pediatric guidelines for Atropine dosing. For example, doses that are higher or miscalculations based on route might not achieve the intended therapeutic effect, could lead to under-treatment, or present an increased risk of side effects. Focusing on the correct dosing is vital for ensuring that pediatric patients receive appropriate and effective care, thereby preventing complications associated with both under-dosing and over-dosing.