Acute Care

Anticholinergic rhyme/memory trick and symptoms?

Mad as a hatter (delirium, hallucinations)

Red as a beet

Dry as a desert (no pee, dry membranes)

Hot as hades (no sweating, hyperthermia)

Blind as a bat (mydriasis)

Name at least 3 anticholinergic agents

Jimson weed

Tricyclic antidepressants

Antihistamines (Benadryl)

Scopolamine (Motion sickness med)

Atropine

Anti-parkinson agents (benztropine)

What is the antidote for anticholinergic toxicity? What is an agent that can be used for tremors/myoclonus?

Antidote = Physostigmine

Also can use Ativan q3-5 minutes

What are the symptoms of sympathomimetic toxicity?

Delusions, agitation, paranoia

Tachycardia

HTN

Hyperthermia, sweating

HYPER-reflexia

Mydriasis

What are 2 examples of sympathomimetics?

METH

Decongestant (ephedrine) - HINT: Cold/cough meds

Cholinergic mneumonic and symptoms?

DUMBELS

D - Diaphoresis, diarrhea

U - Urinary incontinence

M - Miosis

B - Bronchospasm, bronchorrhea, bradycardia

E - Emesis

L - Lacrimation

S - Salivation

Or think opposite of anticholinergic rhyme..

Name at least 2 examples of cholinergic agents?

-Organophosphates or carbamate (pesticides)

-Mushrooms

Serotonin syndrome symptoms? (HINT: Think 3 groups - autonomic, mental state, and neuromuscular)

Autonomic: Tachycardia, HTN, hyperthermia, tachypnea, diaphrosis

Mental: Confusion, agitation, coma

Neuromuscular: HYPER-reflexia, tremors, clonus, clonus, rigidity

List the components of GCS scoring and how many points each category is worth

EYES - 4

VERBAL - 5

MOTOR - 6

What is the Parkland formula?

4 mL x BSA (%) x Weight

This does NOT include your maintenance fluid. Give first half of replacement over 1st 8 hours, then remaining half over subsequent 16 hours.