Presentation Per Drug

Question 1

Cocaine Intoxication

Answer 1

Schedule II
- dilated pupil, high HR, high energy
- cardiac toxicity (especially when mixed with EtOH) d/t cocaethylene byproduct
- do not give BB (MI risk)

Question 2

Methamphetamine Intoxication

Answer 2

• high HR, high energy, elevated body temperature, decreased appetite
• can be pruritis/picking and poor dentition “meth mouth”
• note EtOH OD more likely with meth co-ingestion because meth decreases EtOH depressant activity

Question 3

Bath Salts Intoxication

Answer 3

Schedule I
- high HR, high BP, increased sociability

Question 4

Amphetamine Toxicity

what is tx?

Answer 4

agitation, confusion, tremor
high BP, high HR, high RR, high body temp, dilated pupils
diaphoretic, combative, repetitive movements

Lorazepam / BZD

Question 5

Opioid Withdrawal Syndrome

Answer 5

nausea, vomiting, diarrhea
diaphoretic, anxious, watery discharge from both eyes, rhinorrhea, dilated pupils

Question 6

Opioid Toxicity / OD

Answer 6

pinpoint pupils, altered mental status, low RR
elevated creatinine phosphokinase

Question 7

caffeine toxicity (fatality possible)

Answer 7

tachycardia
seizure, vomiting
hyponatremia, hypokalemia
hyperglycemia

Question 8

BZD OD

Answer 8

CNS depression, normal vitals
stimulation of GABA receptors

Question 9

alcoholic hepatitis

Answer 9

• sudden onset jaundice, bili>3
• AST/ALT >2
• AST & ALT 1.5x, but <400