POISON: Agents with anticholinergic table 11-24 (1) Flashcards
agents with anticholinergic properties.
.
Antihistamines 2
Diphenhydramine, cyproheptadine
Diphenhydramine, cyproheptadine, what class?
antihistamines
Psychotropics 1st generation?2
chlorpromazine, haloperidol
Psychotropics 2nd generation?1
clozapine
Psychotropics TCA?2
amitriptyline, clomipramine
chlorpromazine, haloperidol?
Psychotropics 1st generation
clozapine?
Psychotropics 2nd generation
amitriptyline, clomipramine?
TCA
Antiparkinson?2
benztropine, trihexyphenidyl
benztropine, trihexyphenidyl?
Antiparkinson
Antimuscarinic, bronchodilator, 1?
Ipratropium
Antimuscarinic, overactive bladder, 2?
oxybutynin, darifenacin
Antimuscarinic, antispasmodics 2?
Dicyclomine, hyoscyamine
Antimuscarinic, antiemetic 1?
Scopolamine
Mydriatics, 2?
Atropine, cyclopentolate
Eye drops - can cause cholinergic toxicity as well
Plant based? 3
Muscarinic mushroom species; Jimsonweed; Nightshade species
Anticholinergic toxicity.
HOT. Incr. body temp.?
decr. sweating leads to decr. heat dissipation
Anticholinergic toxicity.
DRY. decr. secretion (mucous membranes, sweat glands)?
decr. glandular secretion and smooth muscle contraction
Anticholinergic toxicity.
RED. Flushed skin?
Superficial vasodilation from incr. body heat
Anticholinergic toxicity. BLIND. Cycloplegia, mydriasis?
Paralysis of ciliary muscle and iris sphincter
Anticholinergic toxicity. MAD. Altered mental status?
Permeates BBB and affects CNS pathways
Anticholinergic toxicity. FULL. Constipation, urinary retention?
Decr. intestinal smooth muscle contractions
Decr. detrusor contraction and decr. internal urethral sphincter relaxation
Anticholinergic toxicity. FAST.
tachycardia
decr. vagal tone at the sinoatrial node