Mnemonics and Memory Aids - page 13

The HYPERKALEMIA "Machine" - Causes of Increased Serum K+ M - Medications - ACE inhibitors, NSAIDS A - Acidosis - Metabolic and respiratory C - Cellular destruction - Burns, traumatic injury H... Read More

  1. by   KrCmommy522
    Quote from Futureapn2
    What is the cholinergic mnemonic
    What exactly are you looking for?

    Anticholinergic Side Effects
    Can't See – Blurred vision
    Can't Pee – Urinary retention
    Can't Spit – Dry mouth
    Can't S**t – Constipation
    An anticholinergic is a substance that blocks the neurotransmitter acetylcholine in the central and peripheral nervous system. They inhibit parasympathetic nerve impulses by selectively blocking the binding of the neurotransmitter acetylcholine and its receptor in the nerve cells. The nerve fibers of the parasympathetic system are responsible for the involuntary movement of smooth muscles present within the GI tract, lungs, urinary tract, etc.
    The side effects, as you can imagine this like anticholinergics really affect a lot of systems of the body, so you can have a lot of side effects from these medications. The mnemonic for side effects of anticholinergics is – You can't see it, can't pee, can't spit, and can't ****. You can't seeblurred vision is a side effect. Can't peeurinary retention. Can't spit – you have dry mouth. Can't S**t – Constipation

    Cholinergic Crisis S&S
    SLUDGE
    S = Salivation
    L = Lacrimation (excessive tears)
    U = Urination
    D = Defecation
    G = Gastric upset
    E = Emesis
    Another mnemonic when pts are receiving anticholinergics, is for cholinergic crisis. So, the S&S that go along with the cholinergic crisis – SLUDGE. Surprisingly, these are kind of opposite of anticholinergic issues. If you think about it as anticholinergics are kind of drying things up (can't pee, can't spit, etc.), cholinergics are kind of lubricating everything. You just have things coming out of everywhere. So, that's kind of how to remember the two. Anticholinergic kind of drives things up, cholinergic crisis kind of has stuff coming out of everywhere, out of your eyes, bowels, bladder, mouth (emesis and salivation both). So, that's what you can think about when you are trying to differentiate between anticholinergic and cholinergic.
    Last edit by KrCmommy522 on Dec 12, '17

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