Circulation

Early hypertension and tachycardia after nicotine poisoning is usually transient and does not require treatment.

For hypotension due to nicotine poisoning, first-line treatment is intravenous fluid therapy.

Treat symptomatic bradycardia with intravenous atropine:

atropine 0.6 mg (child: 0.02 mg/kg up to 0.6 mg) intravenously, every 3 to 5 minutes guided by clinical response up to a maximum total dose of 3 mg (child: 1.8 mg). nicotine poisoning - bradycardia atropine