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Medgeeks Clinical Review Podcast

Feb 28, 2019

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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.


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