Feb 28, 2019
Today, we're going to discuss anticholinergic toxicity.
This is an important one as there are a ton of medications out there that have anticholinergic properties.
We have a 75 year old female with a past medical history of Parkinsons, COPD, hypertension, and hyperlipidemia.
She presents from a skilled nursing facility with altered mental status. Per the SNF, the patients baseline is alert and oriented x4 but does need assistance with ADLs.
This morning the patient had intermittent agitation and was disoriented to self, place, and time.
Patient had a temp of 102.3, HR 120, BP 130/89, RR 16, and 98% O@ RA.
Of note, the patient has not urinated in over 12 hours. Per staff, she was seen yesterday for a low back musculoskeletal strain and was given flexeril and ibuprofen.
Let's finish walking through this case together and discuss anticholinergic toxicity.
-
Our goal at Medgeeks is to help you live the life you want to live as you navigate a career in medicine.
This looks different to everyone, which is why we take such a personalized approach.
Whether you want to ...
- Stop taking your work home
- Have the skillset to work autonomously
- Improve your work life balance
https://medgeeks.co/about-us
-
Check out our free Facebook group, where we share daily clinical
pearls, advice, and practice changing updates:
-
This podcast should not be used in any legal capacity whatsoever,
including but not limited to establishing standard of care in a
legal sense or as a basis for expert witness testimony. No
guarantee is given regarding the accuracy of any statements or
opinions made on the podcast, video, or blog.