The Dosage of Atropine in PALS Emergency Situations as of 2020

Correct dopamine dose

Introduction: What is Atropine and How Does It Work?

Atropine is a medication with anticholinergic properties, which is used to treat primary bradycardia.

Atropine can also treat specific toxins, such as organophosphate poisoning, but the dosing is different.

Child cardiac patient rests in their hospital bed.

How Much Atropine Should You Give An Infant?

The dosage of Atropine is different for infants than it is for children or adults.

The dosage depends on the weight of the infant, age, and other factors. The standard dose for an infant is 0.02 milligrams per kilogram of body weight, with a maximum of 1 milligram, delivered via IV/IO.

Repeat once in 3–5 minutes, if necessary.

What are Side Effects of Atropine Overdose in Infants and Children?

Side effects of atropine overdose in infants and children can include:

  • flushed skin 
  • nausea 
  • dilated pupils 
  • delirium
  • diarrhea 
  • loss of balance
  • coma

Other side-effects of Atropine may include the following:

Atropine doses less than 0.1 mg may cause paradoxical bradycardia, creating worse symptoms of bradycardia.

Tachycardia may also follow atropine administration.

Where Can I Learn More About PALS Drugs and Dosing Updates?

The new dosing changes in the Pediatric Advanced Life Support (PALS) course are reflective of the changes endorsed by the American Heart Association (AHA) for 2020. The new changes are applicable to all healthcare providers who care for children. To prepare for these changes, it is imperative and necessary that all pediatric healthcare providers update their qualifications and re-certify or certify in the Pediatric Advanced Life Support (PALS) course.

Sign up for the Medical ProCerts PALS Certification course today, and get your certification online in just a few hours. We make it easy for busy professionals to move at their own pace and save their progress as they go.

Go to to get started!

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