Prior medical Therapy

Question 1

Medical Marijuana

Answer 1

Green Leafy material
edibles
CBD

Question 2

Prescription Marijuana

Answer 2

Marinol

Question 3

Adderall

Answer 3

Amphetamine salts

Question 4

Vicks inhalers

Answer 4

L-meth and L-amp

Question 5

Ketamine

Answer 5

Efficacy
effective 1/3 patients resistance to classical SSRIs
Fast acting

Question 6

In vivo transformation of CBD to THC ehhh

Answer 6

Midthun et al Fortified hair samples
rodrigues et al
still debate

Question 7

Cocaine use

Answer 7

Koller and freud used as local anesthetic in opthalmology
Halstead and Hall dental nerve block
intranasal cocaine is still used in some ENT procedure

Question 8

Can medicinally used cocaine cause a positive result in urine drug test

Answer 8

YES

Question 9

Cocaine metab

Answer 9

cocaine benzoylecgonine and benzoylmethylecgonine main
butylcholinesterase
norcocaine

Question 10

He said Important cocaine can spontaneously hydrolysis via liver carboxylesterase to

Answer 10

benzoylecgonine

Question 11

blackman?

Answer 11

nasal All patients tested positive for benzoylecgonine up to 72 hrs post admin

Question 12

patrinely

Answer 12

eye surgery found postive for 72 hours post dosing

Question 13

Topical Applications

Answer 13

Creams, transdermal patches, intrathecal pumps

Question 14

Creams and lotions

Answer 14

Diphenhydramine
Available OTC cream
Calamine-antihistamine lotion
Tx of itching
Considered benign by caregivers; not in Hx
Number of deaths in children
Anticholinergic toxicity

Question 15

Transdermal patches

Answer 15

Removal prior to autopsy examination
Family or other
First responders
Adhesive outline
Not communicated to Tox Lab
Medications
Buprenorphine, Clonidine,Fentanyl, Lidocaine, Methylphenidate, Selegiline

Question 16

Intrathecal Pumps

Answer 16

Removed at autopsy
Challenge to Tox Lab without Hx
Types of medications in pumps
Baclofen,Bupivacaine,Clonidine,Fentanyl , Hydromorphone, Morphine,Sufentanil