Which option is not a component of SLUGEM?

Which option is not a component of SLUGEM?

• A. Salivation
• B. Lacrimation
• C. Urination
• D. Blurred vision

Answer: (D)

SLUGEM is a mnemonic used to remember the signs of cholinergic excess from parasympathetic activation. The items it represents are Salivation, Lacrimation, Urination, GI upset, Emesis, and Miosis (pupil constriction). The visual change described in the mnemonic is miosis, not blurred vision. Blurred vision can occur as a consequence of miosis, since constricted pupils make focusing more difficult, but it isn’t the term used in the acronym itself. So among the options, blurred vision is not a listed component—its effect is captured by the term miosis.

SLUGEM is a mnemonic used to remember the signs of cholinergic excess from parasympathetic activation. The items it represents are Salivation, Lacrimation, Urination, GI upset, Emesis, and Miosis (pupil constriction). The visual change described in the mnemonic is miosis, not blurred vision. Blurred vision can occur as a consequence of miosis, since constricted pupils make focusing more difficult, but it isn’t the term used in the acronym itself. So among the options, blurred vision is not a listed component—its effect is captured by the term miosis.