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Toxicology · Toxicology

Toxicology: Common Toxidromes

Classic toxidromes (anticholinergic, cholinergic, opioid, sympathomimetic) with their symptom pattern, one toxidrome per card.

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What receptor type is blocked in anticholinergic toxidrome?
Muscarinic acetylcholine receptors
What happens to the pupils in anticholinergic toxidrome?
Mydriasis (dilated pupils)
Describe the skin findings in anticholinergic toxidrome.
Dry, flushed, and hot skin from decreased sweating
What happens to body temperature in anticholinergic toxidrome?
Hyperthermia
What urinary symptom is classic in anticholinergic toxidrome?
Urinary retention
What happens to bowel sounds in anticholinergic toxidrome?
Decreased or absent bowel sounds (ileus)
What CNS symptoms occur in anticholinergic toxidrome?
Delirium, agitation, and visual hallucinations
What happens to heart rate in anticholinergic toxidrome?
Tachycardia
Name a classic drug class that causes anticholinergic toxidrome.
Antihistamines, such as diphenhydramine
What is the antidote used for severe anticholinergic toxidrome?
Physostigmine
What is the underlying mechanism of cholinergic toxidrome?
Acetylcholinesterase inhibition causing excess acetylcholine, seen with organophosphates and carbamates
What happens to the pupils in cholinergic toxidrome?
Miosis (pinpoint pupils)
What does the mnemonic SLUDGE stand for in cholinergic toxidrome?
Salivation, lacrimation, urination, defecation, GI distress, emesis
What do the 'killer B's' refer to in cholinergic toxidrome?
Bradycardia, bronchorrhea, and bronchospasm
What nicotinic effects occur in cholinergic toxidrome?
Muscle fasciculations and weakness

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