2/23 Rx: Drug Abusers in the ED

Question 1

MC drug problem in the ED

Answer 1

1) marijuana, 2) cocaine, 3) street opioids

Question 2

which group is more likely to use alcohol, tobacco, and other drugs

Answer 2

younger pts and males

Question 3

1st thing to do for pt w/depressed central respiratory drive presenting to ED

Answer 3

ABCs

Question 4

opiate and benzodiazepine intoxicataion: tx?

Answer 4

naloxone or flumazenil

Question 5

drugs that cause: MIOSIS

Answer 5

sympatholytic agents, opiods, nicotine

Question 6

drugs that cause: MYDRIASIS

Answer 6

sympathomimetic agents: LSD (lysergic acid diethylamide), cocaine, amphetamines and derivatives

Question 7

drugs that cause: horizontal-gaze nystagmus

Answer 7

barbiturates, ethanol,

carbamazepine, phenytoin, scorpion envenomation

Question 8

drugs that cause: horizontal-, vertical-gaze, and rotatory nystagmus

Answer 8

phencyclidine (PCP)

Question 9

how does nicotine abuse present?

Answer 9

multiple nicotine patches, smokeless electronic cigarettes

Question 10

who is mecamylamine not suitable for?

Answer 10

pts who are vomiting, convulsing, hypOTN

Question 11

Purification of heroin

Answer 11

1) white, milky sap from the poppy seed oozes out –> turns black –> scrape it and wrap it
2) mixed w/lime in boiling water, take the top morphine layer, reheat w/ammonia –> brown again
3) dry in sun
4) ether and HCl purification = heroin