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Related Concept Videos

Hand hygiene01:23

Hand hygiene

Asepsis is the practice of preventing or breaking the chain of infection. The nurse employs aseptic techniques to prevent the spread of microorganisms and reduce the risk of diseases. Hand hygiene is the cornerstone of aseptic techniques and is classified into medical and surgical asepsis. Medical asepsis includes hand hygiene and the use of gloves. Surgical asepsis, or the sterile technique, refers to practices that render and keep objects and areas free of microorganisms.
Hand washing...
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Cholinergic Antagonists: Therapeutic Uses

Antimuscarinic drugs have various therapeutic applications by inhibiting parasympathetic stimulation in different systems. Here are the key therapeutic uses of antimuscarinics:    
Respiratory Tract: Ipratropium, aclidinium, and tiotropium treat asthma, chronic bronchitis, and chronic obstructive pulmonary disease (COPD). They protect against bronchoconstriction caused by irritants like cigarette smoke, sulfur dioxide, and ozone. They also help reduce nasopharyngeal secretions in common...
Direct-Acting Cholinergic Agonists: Therapeutic Uses01:11

Direct-Acting Cholinergic Agonists: Therapeutic Uses

Direct-acting cholinergic agonists have many therapeutic uses in various medical fields. Choline esters, including acetylcholine, have limited clinical utility due to their non-selectivity and short duration of action. Still, acetylcholine and carbachol are applied topically during ophthalmologic surgery to induce miosis. Pilocarpine, a muscarinic and ganglionic stimulator, effectively treats open-angle glaucoma and alleviates xerostomia and dry mouth caused by radiotherapy or Sjögren syndrome.
Sedatives and Hypnotics Drugs: Miscellaneous Agents01:17

Sedatives and Hypnotics Drugs: Miscellaneous Agents

Sedatives and hypnotics encompass a wide range of substances, each with its unique mechanism of action, uses, and potential adverse effects.
Melatonin congeners like ramelteon (Rozerem) and tasimelteon (Hetlioz) selectively bind to melatonin receptors (MT1 and MT2) and thus mimic the actions of melatonin, a hormone that regulates sleep-wake cycles. Tasimelteon is primarily used for non-24-hour sleep-wake disorder, common in blind patients. They are also used to treat conditions like insomnia...
Adrenergic Agonists: Therapeutic Uses01:30

Adrenergic Agonists: Therapeutic Uses

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Emergency and Intensive Care Unit (ICU) applications: Pressor agents increase blood pressure, heart rate, and contractility in shock and organ failure situations. Dopamine can induce vasodilation and stimulate adrenoceptors. Endogenous catecholamines are effective in treating cardiogenic shock. α2-agonists like clonidine can reverse anesthesia-induced hypertension.
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Antipsychotic Drugs: Therapeutic Uses and Side Effects01:21

Antipsychotic Drugs: Therapeutic Uses and Side Effects

Antipsychotic drugs primarily block dopamine and serotonin receptors and cholinergic, adrenergic, and histaminergic receptors, thereby reducing hallucinations and delusions in conditions like schizophrenia. However, they can trigger unwanted extrapyramidal effects such as dystonias, Parkinson-like symptoms, and tardive dyskinesia.
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A Mice Model of Chlorhexidine Gluconate-Induced Peritoneal Damage
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Chlorhexidine: uses and adverse reactions.

Dianne L Silvestri1, Melissa McEnery-Stonelake

  • 1Division of Dermatology, University of Massachusetts Medical School, Worcester, MA 01605, USA. dianne.silvestri@umassmemorial.org

Dermatitis : Contact, Atopic, Occupational, Drug
|May 14, 2013
PubMed
Summary

Widespread use of chlorhexidine, an antiseptic and preservative, is linked to increasing adverse reactions. Physicians must recognize potential sources and symptoms of chlorhexidine sensitization, ranging from dermatitis to anaphylaxis.

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Area of Science:

  • Medical Microbiology
  • Dermatology
  • Allergy and Immunology

Background:

  • Chlorhexidine is a widely used antiseptic for preventing infections and in oral hygiene.
  • Its application extends to personal care products, increasing general population exposure.
  • Reports of adverse reactions to chlorhexidine are on the rise.

Purpose of the Study:

  • To highlight the increasing incidence of adverse reactions to chlorhexidine.
  • To inform healthcare professionals about the spectrum of chlorhexidine-induced complications.
  • To emphasize the importance of recognizing chlorhexidine sensitization.

Main Methods:

  • Review of clinical reports and scientific literature on chlorhexidine adverse reactions.
  • Analysis of case studies detailing irritant contact dermatitis and anaphylaxis.
  • Correlation of exposure sources with sensitization and reaction severity.

Main Results:

  • Adverse reactions to chlorhexidine encompass a range from mild irritant contact dermatitis to severe anaphylaxis.
  • Allergic contact dermatitis can be a precursor to anaphylactic reactions.
  • Increased use correlates with a higher frequency of reported hypersensitivity.

Conclusions:

  • Physicians need heightened awareness of diverse chlorhexidine exposure routes.
  • Early recognition of chlorhexidine sensitization is crucial for preventing severe outcomes.
  • Prompt diagnosis and management are essential for patients experiencing chlorhexidine-related adverse events.