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atropine <drug> A toxic alkaloid extracted from belladonna and other members of thenightshade family, it is typically used to dilate the eye and to stopmuscular spasms.
Pharmacologic action: Parasympatholytic. Competitive blockade of acetylcholine at muscarinic receptors. Increases sinus node automaticity and AV conduction.
Uses: Treat bradycardia, asystole, and AV block
Dose: 0.5 - 1.0 mg for bradycardia every 3 - 5 min to a total dose of 0.04 mg/kg. Doses smaller than 0.5 mg can cause a paradoxical bradycardia due to sympathomimetic effects Typically 3 mg is adequate to completely block vagal effects Atropine is well absorbed via endotracheal route - administer 1-2 mg diluted in 10 mL sterile water or normal saline.
Potential complications: 1. Tachyarrhythmias 2. Exacerbation of myocardial ischemia 3. Low dose may cause paradoxical bradycardia 4. Dry mouth, urinary retention, flushed and hot skin 5. Crosses blood-brain barrier which can cause delirium
Note: The denervated heart will not respond to atropine.
(15 Mar 2000)
atropine dehydrase <enzyme> Proposed mechanism for conversion of atropine or scopolamine to apoatropine or aposcopolamine via a mechanism using hydroxysteroid sulfotransferase by guinea pig liver
Registry number: EC 2.8.2.-
Synonym: scopolamine dehydrase
(26 Jun 1999)
atropine derivatives Analogs and derivatives of atropine.
(12 Dec 1998)
atropine methonitrate The methylnitrate of atropine, with the same actions and uses as atropine, but less lipid-soluble and hence with fewer central nervous system effects; a quaternary compound.
(05 Mar 2000)
atropine methylbromide A quaternary derivative of atropine that is less lipid soluble and hence produces fewer central nervous system actions; a cycloplegic.
Synonym: atropine methylbromide.
(05 Mar 2000)
atropine sulfate An anticholinergic; a widely used soluble salt of atropine.
(05 Mar 2000)
atropine test If an injection of atropine relieves bradycardia, the condition is due to action of the vagus; if it does not, the condition may be due to an affection of the heart itself.
Synonym: atropine test.
(05 Mar 2000)
accessory organs of the eye The eyelids, with lashes and eyebrows, lacrimal apparatus, conjunctival sac, and extrinsic muscles of the eyeball.
Synonym: organa oculi accessoria, accessory organs, accessory visual apparatus, adnexa oculi, appendages of eye.
(05 Mar 2000)
accommodation of eye The increase in thickness and convexity of the eye's lens in order to focus the image of an external object upon the retina.
(05 Mar 2000)
amaurotic cat's eye A yellow reflex from the pupil in cases of retinoblastoma or pseudoglioma.
(05 Mar 2000)
anterior chamber of eye The space between the cornea anteriorly and the iris/pupil posteriorly, filled with a watery fluid (aqueous humor) and communicating through the pupil with the posterior chamber.
Synonym: camera anterior bulbi, camera oculi anterior, camera oculi major.
(05 Mar 2000)
anterior eye segment That part of the eyeball anterior to the lens.
(12 Dec 1998)
antibiotic eye drops <pharmacology> A medication that is pH balanced to allow placement into the eye for the purpose of killing bacteria.
Examples include: Bleph-10, Chloromycetin, Cortisporin-Ophthalmic, Gantrisin, Genoptic, Gentacidin, Garamycin, Gantrisin, Ilotycin, Sodium Sulamyd and Sulphair.
(27 Sep 1997)
aphakic eye The eye from which the lens is absent.
(05 Mar 2000)
appendages of eye The eyelids, with lashes and eyebrows, lacrimal apparatus, conjunctival sac, and extrinsic muscles of the eyeball.
Synonym: organa oculi accessoria, accessory organs, accessory visual apparatus, adnexa oculi, appendages of eye.
(05 Mar 2000)
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