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This Concept Map, created with IHMC CmapTools, has information related to: Case 7 - ACh Cmap (final), Increased heart rate, increased blood pressure, increased body tempuratue Coincides with Dilated pupil in left eye, increased blood pressure, increased heart rate, increased body temperature, Diagnostic Tests Radiographic tests CT and MRI for possible brain injury, Vision disturbances Coincides with Blurred vision (only in left eye), Patient Presentation in Chart and Clinically ???? Diagnostic Tests, Patient Presentation in Chart and Clinically ???? Treatment strategies, Physostigmine Clinical trial data Preserves both central and peripheral effects of anticholinergic, Laboratory test results: liver function, renal function, etc. ???? Healthy metabolism, Mydriasis & cycloplegia Physiologic changes Receptor changes, Patient has young, healthy metabolism for drug elimination ???? Blurred vision should resolve in 24 hours or less, Half-life of scopolamine is 9.5 hours ???? Patient has young, healthy metabolism for drug elimination, Physostigmine Mechanism Inhbits acetylcholine esterase, Diagnostic Tests Clinic tests Screen for glaucoma or macular degeneration, Patient Presentation in Chart and Clinically No known allergies, Drug side effects ???? Mydriasis, Wash hands after applying transderm scop patch if futrure use is desired or Teach patient how to safely dispose of remaining transdermal patches, Treatment strategies ???? Nonpharmacologic Interventions, Physostigmine Actions Inhibits break down of acetlycholine in the synapse, Patient Presentation in Chart and Clinically ???? Clinical Presentation, Clinical Presentation Take history 22 YOF with Healthy & Active Lifestyle, Physostigmine Special Product considerations Close monitoring required on dose and/or frequency if needed