Cholinergic Medications Quiz
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Questions and Answers

Cholinergic medication for anticholinergic OD

physostigmine salicylate (Antilirium)

SE of Antilirium

Significant SE, only give if delirious or agitated

Treats cholinergic poisoning

Atropine

Treats Organophosphate poisoning

<p>Atropine</p> Signup and view all the answers

Treats coumadin OD

<p>phytonadione (Vitamin K)</p> Signup and view all the answers

Cholinergic NS alterego

<p>PNS</p> Signup and view all the answers

Anticholinergic/Adrenergic NS alterego

<p>SNS</p> Signup and view all the answers

Heparin OD

<p>protamine sulfate</p> Signup and view all the answers

SE of giving Vitamin K IV

<p>Cardiac arrest</p> Signup and view all the answers

SE of protamine sulfate

<p>N/V, hypotension, dyspnea</p> Signup and view all the answers

Given for hyperkalemia

<p>sodium polystyrene sulfonate (Kayexcalate)</p> Signup and view all the answers

SE of Kayexcalate

<p>Constipation, anorexia, N/V, hypokalemia</p> Signup and view all the answers

When should you not use Kayexalate

<p>K+ over 6</p> Signup and view all the answers

Medications that cause low K+

<p>Loop diuretics, thiazide diuretics, corticosteroids</p> Signup and view all the answers

Hypokalemia symptoms

<p>confusion, tiredness, cardiac dysrhythmias, hypotension, nausea, muscle weakness, alkalosis</p> Signup and view all the answers

Medications causing high K+

<p>ACE inhibitors, K+ sparring diuretics, K+ supplements</p> Signup and view all the answers

Hyperkalemia Symptoms

<p>Muscle weakness, paresthesia, V-fib, cardiac arrest, tall T waves</p> Signup and view all the answers

Medication for lead poisoning

<p>Succimer (Chemet)</p> Signup and view all the answers

SE of chemet

<p>Tiredness, dizziness, N/V, metalic taste</p> Signup and view all the answers

Other things Chemet treats (besides lead)

<p>Mercury, arsenic poisioning</p> Signup and view all the answers

Antidote for Acetaminophen OD

<p>Acetylcysteine (Mucomyst)</p> Signup and view all the answers

SE of Mucomyst

<p>NV, bronchospasms</p> Signup and view all the answers

Possible PO complication of mucomyst

<p>Vomiting - sulfur smell</p> Signup and view all the answers

Time frame for mucomyst

<p>Most effective - 10 hours Can be given up to 24 hours</p> Signup and view all the answers

Purpose of activated charcoal

<p>Bind to chemical/poison to inhibit absorption</p> Signup and view all the answers

SE of activated charcoal

<p>NV, diarrhea, constipation</p> Signup and view all the answers

Activated charcoal administration

<p>Within 1 hour</p> Signup and view all the answers

What does activated charcoal not absorb

<p>(PHAILS) Pesticides, hydrocarbons, Acid/alkaline, Iron, Lithium, Solvents</p> Signup and view all the answers

Thrombotic OD or excessive bleeding

<p>Aminocaproic acid (Amicar)</p> Signup and view all the answers

Caveat of Amicar

<p>Only effective if pt can form a clot</p> Signup and view all the answers

Iron and aluminum poisoning

<p>Deferoxamine mesylate (Desferal)</p> Signup and view all the answers

SE of Desferal

<p>Blurry vision, red urine, diarrhea</p> Signup and view all the answers

Digoxin OD

<p>Digoxin immune FAB (DigiFab)</p> Signup and view all the answers

Digoxin levels

<p>0.5-2</p> Signup and view all the answers

Need to know b4 giving digoxin

<p>AP, serum level, therapeutic levels</p> Signup and view all the answers

Alcohol OD

<p>Disulfiram (Antabuse)</p> Signup and view all the answers

SE of antabuse with alcohol

<p>sweating, HA, dyspnea, NV, palpitations, hypotension, tachycardia, confusion</p> Signup and view all the answers

Benzodiazepine antagonist OD

<p>Flumazenil (Romazicon)</p> Signup and view all the answers

SE of Romazicon

<p>NV, dizziness</p> Signup and view all the answers

Narcotic OD

<p>Naloxone hydrochloride (Narcan)</p> Signup and view all the answers

Monitor after Narcan

<p>Resedation, respiratory rate</p> Signup and view all the answers

IV extravasation of catecholamines

<p>Phentyolamine (Regitine)</p> Signup and view all the answers

SE of Regitine

<p>Hypotension, dysrhythmias, GI distress</p> Signup and view all the answers

Administration of Regitine

<p>Within 12 hours, SQ around site</p> Signup and view all the answers

Hypoglycemia

<p>Dextrose 50% (Glucagon)</p> Signup and view all the answers

Primary PNS NT

<p>ACH</p> Signup and view all the answers

PNS SE

<p>SLUDGE - salivation, lacrimation, urinary incontinence, diarrhea, GI cramping, emesis, miosis, bradycardia, bronchoconstriction</p> Signup and view all the answers

PNS drugs alterego

<p>Cholinergic, parasympathomimetic, cholinergic agonist</p> Signup and view all the answers

Contraindications for Cholinergic

<p>COPD, bradycardia, hypotension, GI obstruction</p> Signup and view all the answers

Cholinergic crisis symptoms

<p>abdominal cramps, salivation, flushing, NV</p> Signup and view all the answers

Cholinergic direct meds

<p>Bethanechol, pilocarpine, cevimeline</p> Signup and view all the answers

Cholinergic indirect meds

<p>physostigmine, pyridostigmine, donepezil</p> Signup and view all the answers

Increases bladder tone, Voiding issues

<p>Bethanechol</p> Signup and view all the answers

High IOP (Glaucoma)

<p>Pilocarpine</p> Signup and view all the answers

Given to increase salivation

<p>cevimeline</p> Signup and view all the answers

Blocks ACH breakdown (MG)

<p>pyridostigmine</p> Signup and view all the answers

increases ACH (Alzheimers)

<p>donepezil</p> Signup and view all the answers

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