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Unwanted effects produced by d-tubocurarine result from a nonimmunemediated release of histamine from mast cells, leading to bronchospasm, urticaria, and hypotension. More commonly, a fall in blood pressure can be attributed to ganglionic blockade by d-tubocurarine. Pancuronium is a synthetic compound now frequently used and not likely to cause histamine release or ganglionic blockade.
When Na ions are taken up into the tubule cell, water cannot follow in the usual amount. The fall in urine Na+ concentration reduces Na+ reabsorption, in part because the reduced concentration gradient towards the interior of tubule cells means a reduced driving force for Na+ influx. The result of osmotic diuresis is a large volume of dilute urine.

 

Glauber’s salt (high Na+ content) is contraindicated in hypertension, congestive heart failure, and edema. Epsom salt is contraindicated in renal failure (risk of Mg2+ intoxication).
Possible sequelae are exaggerated parasympathomimetic activity, blockade of ganglionic and neuromuscular transmission, and respiratory paralysis.

 

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