Template:Clinical Features Anticholinergic Toxicity

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  • Red as a beet: cutaneous vasodilation
  • Blind as a bat: nonreactive mydriasis (often delayed 12-24hr)
  • Mad as a hatter: delirium; attention deficit; hallucinations; dysarthria; lethargy
  • Full as a flask: urinary retention
  • Hot as a hare: anhydrotic hyperthermia (may become severe w/ agitation)
  • Dry as a bone: anhidrosis (esp axillae, mouth)
  • And the heart runs alone: Tachycardia (HR 120-160) and decreased/absent bowel sounds
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