Recreational Drugs

Question 1

How can you identify the substance?

Answer 1

Context clues
Specimen in a drug screen

Figure out the pharmacology/PD

Question 2

How to do you manage recreational drug overdose?

Answer 2

Airway
Breathing
Circulation
Decontamination
Enhanced elimination
Focused therapy (antidote)
Get help (call tox line)

Question 3

Describe Codeine/Promethazine Syrup

Answer 3

Euphoriant
(mix of soda and candy)

Can cause seizures, cardiac arrest, and respiratory arrest

Question 4

How do you treat codeine/promethazine overdose?

Answer 4

Supportive care

Anticipate seizures

Question 5

Street names for codeine/promethazine?

Answer 5

Syrup
Purple drank
Sizzurp
Lean

Question 6

Describe GHB.

Answer 6

Gamma hydroxybutyrate
(CNS depressant)
Drowsiness, confusion, dizziness, loss of consciousness
Respiratory Arrest, aspiration and other effects typical of ethanol overdose

Rx for narcolepsy

Question 7

What is GHB structurally similar to?

Answer 7

GBL (Gamma butyrolactone)

BD (1,4-butanediol)

Question 8

Slang names for GHB

Answer 8

G
Georgia Home Boy
Liquid Ecstasy
Easy lay

Question 9

How do you treat GHB overdose?

Answer 9

Supportive care

Question 10

Describe synthetic marijuana

Answer 10

Herbs, spices sprayed with a synthetic material similar to THC

Marketed as incense

Pale skin, seizures, diaphoresis, HTN, tachycardia
Dysphoria, paranoia, delusions, hallucinations, agitation

Question 11

What are the street names for Synthetic marijuana?

Answer 11

K2
Spice
Bliss
Black Mamba??
Blaze
Bombay Blue

Question 12

How can you treat synthetic marijuana overdose?

Answer 12

Supportive care

Minimize stimulation

Question 13

Describe Ketamine

Answer 13

Dissociative anesthetic with hallucinogenic properties.
Cousin of PCP.
Causes dizziness, seizures, cardiac arrest, and respiratory depression

Facilitates sexual assault

Question 14

What are treat names for Ketamine?

Answer 14

Cat Valium
Kit Kat
Special K

Question 15

How can you treat Ketamine overdose?

Answer 15

Supportive care

Reduce stimuli

Question 16

Describe N-Bomb or 2C drugs.

Answer 16

Synthetic hallucinogens sold as “legal” LSD and mescaline.
Powder, liquid, blotter
Causes seizures, cardiac arrest, respiratory arrest

Question 17

What are street names for N-Bomb or 2C drugs?

Answer 17

Legal acid
Smiles
25I

Question 18

How do you treat N-Bomb or 2C drug overdoses?

Answer 18

Supportive care

Question 19

Describe MDMA.

Answer 19

Combo methamphetamine/mescaline
Tolerance can develop

Hyperthermia, rhabdomyolysis
Cerebral edema, seizures, serotonin syndrome
HTN, tachycardia arrhythmias
Trismus, bruxism

Question 20

What are street names for MDMA?

Answer 20

Ecstasy
X
E
Molly
Lover's Speed
"Rolling"

Question 21

What can “Ecstasy” cause?

Answer 21

Increased energy
Talkative
Intimacy and libido
Distorted senses
Decreased fear, aggression, defensiveness
Hallucinations

Question 22

How can you treat MDMA overdose?

Answer 22

Supportive care

Prepare to treat hyperthermia, rhabdo, and seizures

Question 23

Describe Synthetic Cathinones.

Answer 23

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

Question 24

What names are synthetic cathinones marketed under and what are street names?

Answer 24

Ivory Wave, Purple Wave

Flakka, Zombie drug

Question 25

How can you treat synthetic cathinone overdose?

Answer 25

Supportive care

Prepare for agitation and hyperthermia