Cocaine OD Flashcards
1
Q
Cocaine cardiac effects
A
QRS widening, QT prolonging
arrythmias, MI, myocarditis, CAD
coronary artery constriction (worse w/ cigs)
acute HTN
2
Q
Cocaine CNS effects
A
seizures strokes hyperthermia cerebral vasoconstriction "crack dancing" "cocaine washout" "crack eye"
3
Q
Cocaine pulmonary effects
A
asthma pulmonary hemorrhage pneumonitis pulmonary edema barotrauma from valsalva via snorting -pneumomediastinum -pneumothorax -pneumopericardium
4
Q
Cocaine GI effects
A
intestinal ischemia/necrosis
colitis
splenic infarctions
GI bleeds/perforations
5
Q
Cocaine renal effects
A
rhabdomyolysis
acute renal failure
6
Q
Cocaine pregnancy effects
A
Spontaneous abortions
abruptio placenta
meternal HTN
fetal effects
7
Q
Cocaine diagnostic tests
A
cbc, cmp, pt, ptt, EKG troponin cpk uds etoh abg lactate level ct head maybe ct chest, pcxr
8
Q
how long does cocaine test positive in uds?
A
3 days
9
Q
Cocaine OD treatment
A
ABC's BENZOS symptomatic treatment NO B-BLOCKERS serum alk for wide comp tachs and QT prolongs
10
Q
Cocaine “body packers” treatment
A
asymptomatic:
charcoal
WBI (go-lytely)
symptomatic:
benzos
surgical consult
