Primer 7 Flashcards Preview

DIT Primers 1-11 (MS ODD; LS EVEN) > Primer 7 > Flashcards

Flashcards in Primer 7 Deck (12):
1

7 Primary symptoms of parasympathetic/ ach inhibition

HOT as a hare--> anhydrosis
RED as a beet--> flushing
BLIND as a bat--> STOP cycloplegia + mydriasis
DRY as a bone--> STOP salivation
MAD as a hatter--> CNS disturbance (low central Ach)
BLOATED as a toad--> constipation + urinary retention
FAST and Furious--> Tachy

2

Anticholinergics used to treat urinary incontinence:

"On The Darn Toilet, Son!"
Oxybutynin
Tolterodine
Darnifenacin (+ Solifenacin)
Trospium

3

5 patient populations for which atropine is CI:

#1: Acute angle glaucoma
2. BPH
3. Hyperthermia
4. Elderly (delirium, watch for diphenhydramine too!)
5. GI obstrxn/ ilius

4

4 meds with anticholinergic effects that are not "anticholinergics"

1. First gen H1 blockers (diphenhydramine ,doxylamine)
*DELERIUM IN ELDERLY!*
2. Neuroleptics (first gen antipsychotics)
3. TCAs
4. Amantadine

5

Current clinical indications for atropine use (2)
MOA

Antimuscarinic
1. Bradycardia
2. Organophosphate poisoning (w/ Pralidoxime)
*also ^ pupil dilation, enuresis

6

3 antimuscarinics used for pupil dilation

1. Homatropine
2. Cyclopentomide
3. Tropicamide

7

Antimuscarinic used to treat parkinsons?

Benztropine

8

Antimuscarinic used to treat motion sickness and reduce secretions in ventilated patients?

Scopolamine

9

Antimuscarinics used to treat COPD and Asthma (^FEV1)

Ipratropium, Tiotropium

10

Some high yield AchEi's (5)

1. Physostigmine
2. Neostigmine
3. Erdrophonium
4. Rivastigmine
5. Pyridostigmine
6. Donepizil

11

Direct Muscarinic Agonists (3)

1. Pilocarpine
2. Carbachol
3. Bethanechol

12

Cholinesterase regenerator?

Pralidoxime