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Muscarinic antagonist used preoperatively to reduce secretions antidote to treat excess acetylcholine |
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Muscarinic antagonist used preoperatively to reduce secretions as a patch, used to prevent motion sickness acts mainly in the CNS |
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Muscarinic antagonist used preoperatively to reduce secretions |
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Muscarinic antagonist used to produce bronchial dilation in COPD esp in older people bc B2 receptors (albuterol's) decreased in older people. Albuterol preferable usually because it works faster |
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Effects of antimuscarinics on eye and respiratory |
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mydriasis AND cycloplegia (inability to focus bc inhibition of accommodation) bronchodilation and decreased secretions |
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Class is Xanthines which Bronchodilate via inhibition of a Phosphodiesterase. This keeps cAMP up and smooth muscle relaxed |
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How to treat atropine overdose? |
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1) Treat symptomatically 2) Provide cholinesterase inhibitor, e.g., physostigmine, in small doses 3) Blankets and diazepam for seizure control |
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Ganglionic blocker-interferes with the postsynaptic action of ACh at the nicotinic receptor of all autonomic ganglia Limited clinical use-treat hypertension during surgery |
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Ganglionic blocker-interferes with the postsynaptic action of ACh at the nicotinic receptor of all autonomic ganglia. Limited clinical use-treat hypertension during surgery |
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reversible depolarizing NMJ blocker used to relax muscles during surgery Terminate effects by supporting patient and waiting Half life under 1 min |
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d-tubocurarine pancuronium atracurium |
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Nondepolarizing NMJ blocker (competitive antagonist) produces skeletal muscle relaxation for surgery Caution-Respiratory paralysis. If mechanical ventilation is not provided, the patient will asphyxiate Bring patient off these by using ACh esterase inhibitor+muscarinic antagonist (to avoid lowering HR) |
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Nondepolarizing NMJ blocker (competitive antagonist) produces skeletal muscle relaxation for surgery Caution-Respiratory paralysis. If mechanical ventilation is not provided, the patient will asphyxiate Bring patient off these by using ACh esterase inhibitor+muscarinic antagonist (to avoid lowering HR) |
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Treats malignant hyperthermia (blocks Ca++ release from sarcoplasmic retic, preventing heat-generating contractions in response to inhalational anesthetics like halothane |
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Prevents release of acetylcholine treats cervical dystonia, neck pain, focal dystonia, cosmetic |
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