Recreational Drugs Flashcards
How can you identify the substance?
Context clues
Specimen in a drug screen
Figure out the pharmacology/PD
How to do you manage recreational drug overdose?
Airway Breathing Circulation Decontamination Enhanced elimination Focused therapy (antidote) Get help (call tox line)
Describe Codeine/Promethazine Syrup
Euphoriant
(mix of soda and candy)
Can cause seizures, cardiac arrest, and respiratory arrest
How do you treat codeine/promethazine overdose?
Supportive care
Anticipate seizures
Street names for codeine/promethazine?
Syrup
Purple drank
Sizzurp
Lean
Describe GHB.
Gamma hydroxybutyrate
(CNS depressant)
Drowsiness, confusion, dizziness, loss of consciousness
Respiratory Arrest, aspiration and other effects typical of ethanol overdose
Rx for narcolepsy
What is GHB structurally similar to?
GBL (Gamma butyrolactone)
BD (1,4-butanediol)
Slang names for GHB
G
Georgia Home Boy
Liquid Ecstasy
Easy lay
How do you treat GHB overdose?
Supportive care
Describe synthetic marijuana
Herbs, spices sprayed with a synthetic material similar to THC
Marketed as incense
Pale skin, seizures, diaphoresis, HTN, tachycardia
Dysphoria, paranoia, delusions, hallucinations, agitation
What are the street names for Synthetic marijuana?
K2 Spice Bliss Black Mamba?? Blaze Bombay Blue
How can you treat synthetic marijuana overdose?
Supportive care
Minimize stimulation
Describe Ketamine
Dissociative anesthetic with hallucinogenic properties.
Cousin of PCP.
Causes dizziness, seizures, cardiac arrest, and respiratory depression
Facilitates sexual assault
What are treat names for Ketamine?
Cat Valium
Kit Kat
Special K
How can you treat Ketamine overdose?
Supportive care
Reduce stimuli
Describe N-Bomb or 2C drugs.
Synthetic hallucinogens sold as “legal” LSD and mescaline.
Powder, liquid, blotter
Causes seizures, cardiac arrest, respiratory arrest
What are street names for N-Bomb or 2C drugs?
Legal acid
Smiles
25I
How do you treat N-Bomb or 2C drug overdoses?
Supportive care
Describe MDMA.
Combo methamphetamine/mescaline
Tolerance can develop
Hyperthermia, rhabdomyolysis
Cerebral edema, seizures, serotonin syndrome
HTN, tachycardia arrhythmias
Trismus, bruxism
What are street names for MDMA?
Ecstasy X E Molly Lover's Speed "Rolling"
What can “Ecstasy” cause?
Increased energy Talkative Intimacy and libido Distorted senses Decreased fear, aggression, defensiveness Hallucinations
How can you treat MDMA overdose?
Supportive care
Prepare to treat hyperthermia, rhabdo, and seizures
Describe Synthetic Cathinones.
Bath salts, plant food, herbal incense
CNS stimulation, hallucinations
Extreme agitation, aggressive behavior, and paranoia
Tachycardia, anxiety, tremor, HTN, hyperthermia
Superior “high” to cocaine
Structurally similar to methcathinone (amphetamine like alkaloid)
Stimulates release and inhibits reuptake of NE, Serotonin, and dopamine
What names are synthetic cathinones marketed under and what are street names?
Ivory Wave, Purple Wave
Flakka, Zombie drug
How can you treat synthetic cathinone overdose?
Supportive care
Prepare for agitation and hyperthermia
