eMedicine Specialties > Emergency Medicine > Toxicology
Toxicity, Anticholinergic: Follow-up
Updated: Mar 26, 2008
Follow-up
Further Inpatient Care
- Admission decisions are based on patient symptomatology. Asymptomatic patients without anticholinergic signs or symptoms can be discharged after a 4-6 hour observation period. Individuals with initial mild toxicity that resolve during initial observation also may be discharged.
- Admit and monitor symptomatic patients, usually in an ICU setting, until a symptom-free period of 4 hours without the aid of antidotes or supportive therapy is documented.
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Follow-up: Toxicity, Anticholinergic |
| References |
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References
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Haddad LM, Winchester JF, eds. Clinical Management of Poisoning and Drug Overdose. 2nd ed. WB Saunders Co; 1990:861-7, 83, 231, 385.
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McFarland KA. Anticholinergic poisoning. In: Emergency Medicine. 1998.
Nice A, Leikin JB, Maturen A, et al. Toxidrome recognition to improve efficiency of emergency urine drug screens. Ann Emerg Med. Jul 1988;17(7):676-80. [Medline].
Further Reading
Keywords
anticholinergic toxicity, anticholinergic syndrome, ACS, anticholinergic drug ingestions, anticholinergic drug overdose, anticholinergic poisoning, antihistamines, antipsychotics, antispasmodics, cyclic antidepressants, mydriatics, atropine, scopolamine, glycopyrrolate, benztropine, trihexyphenidyl, chlorpheniramine, cyproheptadine, doxylamine, hydroxyzine, dimenhydrinate, diphenhydramine, meclizine, promethazine, chlorpromazine, clozapine, mesoridazine, olanzapine, quetiapine, thioridazine, clidinium, dicyclomine, hyoscyamine, oxybutynin, propantheline, amitriptyline, amoxapine, clomipramine, desipramine, doxepin, imipramine, nortriptyline, protriptyline, cyclopentolate, homatropine, tropicamide, Amanita muscaria, fly agaric, Amanita pantherina, panther mushroom, Arctium lappa, burdock root, Atropa belladonna, deadly nightshade, Cestrum nocturnum, night blooming jessamine, Datura suaveolens, angel's trumpet, Daturastramonium, jimson weed, Hyoscyamus niger, blackhenbane, Lantana camara, red sage, Solanum carolinensis, wild tomato, Solanum dulcamara, bittersweet, Solanum pseudocapsicum, Jerusalem cherry, Solanum tuberosum, potato, carbamazepine, cyclobenzaprine, orphenadrine
Follow-up: Toxicity, Anticholinergic