Organophosphate Poisoning: Atropine Dose Doubling and Infusion (Eddleston)
Gives the next atropine bolus in organophosphate poisoning.
Open the tool → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.
Example
- Adult
- Yes
- Last atropine bolus, mg
- 2
- Total atropine given so far, mg
- 2
- Heart rate now, beats/min
- 60
- Systolic blood pressure now, mm Hg
- 78
- Chest
- Crackles or wheeze
- Begun to improve since the last bolus
- No
Result: Not improving and not at target (heart rate over 80, systolic over 80 mm Hg, a clear chest): give 4 mg IV now (double the last 2 mg), then review in 5 minutes. The total will be 6 mg.
The tool opens with these values already filled in. Replace them with your own.
What you enter
- Adult
- Last atropine bolus, mg
- Total atropine given so far, mg
- Heart rate now, beats/min
- Systolic blood pressure now, mm Hg
- Chest
- Begun to improve since the last bolus
- Pupils
How this is calculated
Citation
Eddleston M, Buckley NA, Eyer P, Dawson AH. Management of acute organophosphorus pesticide poisoning. Lancet. 2008;371(9612):597-607, panel 2. Read the source ↗
A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.