Question

Specialties MICU

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Specializes in critical care.

Here's a question guys

When you have a "chem" code how long do you see the effects of atropine. Ok I know in theory if we are not "pumping" it is not going anywhere, but what about in a line where it is already in central circulation? I had someone look at me like I was the dumbest nurse ever, and told me atropine only lasts three minutes. :imbar I have seen chem codes where PEA or agonal rhythms persist for like 40 minutes. The older more experienced nurse told me the atropine is long gone-but, if we are not pumping is it just sitting around longer? I don't know, which is why I am asking. I would love to ask the person that told me, but she was definately not in the mood for questions.....Does anybody out there know???? Thanks CAT

Specializes in ICU, PACU, Cath Lab.

I have no official information, but you know I did a chem code on a lol one day I mean absoultely no compressions, she went apenic and then bradycardic, PEA. Pushed Atropine and Epi, some Bicarb...Cannot even remember how many rounds we did. Not a long code 20 min maybe. She had electrical activity on the monitor for almost 2 hours. Not a "rythym" the whole time, we got down to bleeps and blurbs, but was not flat line for all that time. Of course then I have done chem codes and they are completely flat within minutes of calling the code...

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