| A | B |
|---|
| "gold standard" for sea sickness | scopolomine |
| mydriasis | dialated pupils |
| miosis | contracted pupils |
| cycloplegia | loss of accomodation of pupils or near focus |
| effects of antimuscarinics on the eyes | mydriasis, cycloplegia, dec tears |
| meds used clinically for eye exam | atropine, scopolomine, cyclopenolate, tropicamide |
| meds for eyes in young | atropine, scopolamine |
| meds for eyes in adults and older kids | cyclopentolate, tropicamide |
| cardiovasc effect of low dose atropine-> ? | pns stim & initial bradycardia |
| cardiovasc effect of hi dose atropine-> ? | relative tachycardia |
| only use atropine to increase heart rate if *** | hypotension, ventricular ectope are present |
| atropine is more dramatic in patients with ** | airway disease |
| atropine is not useful with ? patients | asthmatic |
| what can cause inc secretions and laryngospasms | ether and ketamine |
| atropine can cause ? resp. symptoms | bronchodilation and dec secretion |
| amnesia is assd with ? | scopolamine |
| crosses BBB | atropine |
| effects on GI and urinary system with atropine and scopolamine | intestinal hypomobility and urinary retention |
| DOC for irritabe bowel syndrome | propantheline (? and oxybutynin bcs has anticholinergenic + sm. musc and anesthetic effect) |
| cholinoceptor blocker that improves incontinance | oxybutynin |
| has less adverse effects but more expensive than oxybutynin | tolterodine |
| TCA for incontinance, but more side fx | imipramine |
| atropine effect on sweat glands | suppression, but inc body temp |
| atropine in large doses and repeated often is an antidote for ? | cholinesterase inhibitors |
| general adverse effects of cholinoceptor blocking agents | dry as a bone, blind as a bat, red as abeet, mad as a hatter |
| effects of atropine poisoning | tachycardia, delerious, hyperthermic(esp kids) |
| treatment for atropine poisoning | treat symptoms(best tx), physostigmine(may be dangerous), cooling blankets |
| antimuscarinic drugs are contraindicated in **** | glaucoma, prostatic hyperplasia, ulcer pts |
| adverse effects of topical eye antimuscarinic meds | ppt glaucoma, systemic absorbtion and toxicity(so need to press on lacrimal duct) |
