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What are the sign and symptoms of the CNS suppression of the parasympathetic? What kind of...

What are the sign and symptoms of the CNS suppression of the parasympathetic? What kind of drugs could cause that? What are the nursing intervention?

What are the anti-seizure meds that can also be used to treat pain? How do these drugs work? Is there any nursing consideration or intervention for these meds?

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Answer #1

Signs and symptoms of parasympathetic suppression in CNS :

- Agitation and restlessness,

- Delerium,

- Hallucinations,

- Drowsiness and eventually coma,

- Convulsions,

- Amnesia,

- Blurred vision, pupil dilation, photophobia,

- Weakness,

- Dizziness,

- Insomnia.

Drugs causing parasympathetic suppression in CNS:

- Antimuscarinic drugs like Atropine and scopolamine.

- Antiparkinson drugs like Trihexyphenidyl.

- Tricyclic antidepressants like Amitriptyline.

- Antihistamines.

Nursing Interventions :

- Asess neurological status of the patient such as sensorium, pupil and reflexes.

- Asess for hypoglycemia in patients with altered mental status.

- manage seizures with benzodiazepines.

- Patients with altered mental status may require intubation with cuffed endotracheal tube to prevent aspiration pneumonia.

- Treat agitation with physostigmine or benzodiazepines.

- monitor and treat arrythmias.

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