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10 Cards in this Set

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NMB Reversal Drugs
The Wake Up; Induction drugs long gone, turned gas off so that is gone too, need to get rid of NMBs; Anticholinesterase Drugs prevent the hydrolysis of Ach, and an increase [Ach] @ NMJ competes with ND NMBDs; clinical uses--reversal of Non-depol NMBDs; Mech.
of action--enzyme inhibition, pre-synaptic effects, NMJ effects; get this increase [Ach] everywhere though, so get the BLUDS effect--attenuate by using in combination w / Anticholinergic drugs; BLUDS= bradycardia / bronchospasm, lacrimation, urination, defication, salivation; Anticholinergic Drugs used clinically most often as pre-op med, for treatment of bradycardia, for NDNMB reversal and less frequently for bronchodialation, smooth muscle relaxant, antagonist of gastric acid secretion, & to prevent N / V; work by blocking muscarinic Ach receptors activated by parasymp.
NS, careful though....will cause dialation of pupils (worsens Glaucoma) and will cross placenta in pregnant woman (Cautions=Glaucoma / Parturients).
(Parturient=pregnant woman)

NMB Reversal Drugs
Group 9
Atropine
Drug
(trade name)
Atropine

NMB Reversal Drugs
Group 9
Atropine
Class
Anticholinergic

NMB Reversal Drugs
Group 9
Anticholinergic
An _____ agent is a substance that blocks the neurotransmitter acetylcholine in the central and the peripheral nervous system. An example of an .
is dicyclomine. .
s are administered to reduce the effects mediated by acetylcholine on acetylcholine receptors in neurons through competitive inhibition. Therefore, their effects are reversible.
Atropine
Uses
Bradycardia, accompany NMB Reversal to fight BLUDS

NMB Reversal Drugs
Group 9
Atropine
[ Supplied ]
0.4, 0.5, 1mg / ml

NMB Reversal Drugs
Group 9
Atropine
Dosing--card
1.0mg vagolytic dose; 0.01mg / kg NMB reversal

NMB Reversal Drugs
Group 9
Atropine
Dosing--Stever
IM 0.01-0.02 mg / kg (up to 0.4-0.6 mg); Bradycardia 0.4-0.6mg (up to 3mg)

NMB Reversal Drugs
Group 9
Atropine
Caution
Glaucoma, Parturients

NMB Reversal Drugs
Group 9
Atropine
Notes
NMB Reversal Drugs
Group 9