Pharmacology patterns

DUMBELS

Diarrhea, Urination, Miosis, Bronchospasm/Bradycardia, Emesis, Lacrimation, Salivation

The features of cholinergic excess — the same picture SLUDGE describes, arranged differently and including the bronchial and cardiac effects.

What each letter stands for

1. 1 Diarrhea
2. 2 Urination
3. 3 Miosis — small pupils
4. 4 Bronchospasm, bronchorrhea, bradycardia
5. 5 Emesis
6. 6 Lacrimation
7. 7 Salivation

How it gets tested

Tested with SLUDGE as the cholinergic pattern; the anticholinergic pattern ("dry as a bone, red as a beet…") is its opposite and the usual distractor.

Quick check: DUMBELS

One question. Pick an answer to see the explanation.

What does DUMBELS stand for?

A Salivation, Lacrimation, Urination, Defecation, Gastrointestinal upset, EmesisB Diarrhea, Urination, Miosis, Bronchospasm/Bradycardia, Emesis, Lacrimation, SalivationC heart rateD Methanol, Uremia, Diabetic ketoacidosis, Propylene glycol, Infection, Lactic acidosis, Ethylene glycol, Salicylates

Related terms

SLUDGEHR

Back to the full abbreviation list

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