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This Concept Map, created with IHMC CmapTools, has information related to: Group 5 Ach CMAP, Nicotinic ???? Allows Na+ to enter cell causing depolarization, succinycholine ???? causes desensitization to the Ach, Altered Mechanisms of Action ???? replace Ach-like drug which is resistant to Ach esterase, Ask patient questions ???? How many patches did patient apply and duration, yes ???? assess duration /use, dialtion of eye where contacted ???? symptoms will resolve within 24 hours, Acetylcholine ???? Anticholinergic Toxidrome, Muscarinic Symptoms ???? GI cramping, yes ???? Ask patient questions, Altered Mechanisms of Action ???? decreased nicotinic receptor availability, constrict dilated pupil by shining light pupil constricts no CNS pathology, tall peaks followed by fade non-depolarizing block atracurim, possible access to internal carotid ???? dilation of eye on ipselateral side, Anticholinergic Toxidrome ???? Nicotinic Symptoms, Parasympathetic ???? stomach contracts, Nicotinic Symptoms ???? fasciculations, Muscarinic Symptoms ???? urination, Altered Mechanisms of Action ???? irreversibly or reversibly block nicotinic receptor, Muscarinic Symptoms ???? lacrimation, How many patches did patient apply and duration ???? more than one or more frequently than every 3 days