d-Tubocurarine — Classic Non-depolarizing Neuromuscular Blocker 💉
🔹 Acts as a competitive antagonist at Nm (nicotinic) receptors
🔹 Blocks acetylcholine (ACh) from binding at the neuromuscular junction
🔹 Prevents end-plate depolarization → no muscle contraction
🔹 Leads to flaccid paralysis (muscles become relaxed)
🔹 Paralysis sequence: small muscles → limbs → respiratory muscles ⚠️
🔹 Effect can be reversed by anticholinesterases (↑ACh levels)
👉 Used during surgery for muscle relaxation & intubation support.
Anant's Pharmacology
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Ketamine — The Dissociative Anaesthetic 💉✨
A unique drug that creates a state where the mind is disconnected from the body.
🔹 Produces dissociative anesthesia (patient appears awake but unaware)
🔹 Provides powerful analgesia even at low doses
🔹 Causes amnesia (no memory of procedure)
🔹 Maintains airway reflexes & respiration (safer in emergencies & pediatrics)
🔹 Increases heart rate & blood pressure (useful in shock cases)
🔹 Can cause vivid dreams & hallucinations 🌈
General properties of nitrous oxide as general anesthetics.
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Adverse effects and contraindications of Anticholinergics
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24/04/2026
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Too much acid? Too much spasm? 🔥⚡
Anticholinergics block M1 & M3 → ↓ acid + ↓ motility = relief ✅
When the bladder won’t stay calm… 🚽⚡
Anticholinergics block M3 → relax detrusor → control urgency ✅
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