Toxicology

Question 1

Alcohol Withdrawal

Answer 1

Tremors, hallucinations, seizures, delirium tremens

Tx = benzo, thiamine, folic acid

Question 2

Amphetamines / Cocaine / Bath Salt Intoxications

Answer 2

Euphoric, hypervigilant, autonomic hyperactivity, wt loss, perceptual disturbances

Dilated pupils

May require anti-psychotics or anti-hypertensives

Question 3

Amphetamine / Cocaine Withdrawal

Answer 3

Anxious, tremulous, headache, in appetite, depression, inc suicide

Tx = buproprion

Question 4

Cannabis Withdrawal

Answer 4

Irritable, angry, insomnia, restless, dec appetite

Question 5

Hallucinogen Intoxication

Answer 5

Perceptual disturbances, psychosis, impaired judgement

Tremor, discoordination, dissociative sx

Tx = anti-psychotics, benzo, talk down

Question 6

Inhalants

Answer 6

Belligerence, agression, impaired judgement

Stupor, coma, apathy

Tx = anti-psychotics

Question 7

Opiate Intoxication

Answer 7

Apathy, dysphoria, drowsy, slurred speech, coma death, dec RR

Pinpoint pupils

Tx = naloxone

Question 8

Opiate Withdrawal

Answer 8

Fever, chills, lacrimation, ab cramps, muscle spasms, diarrhea, yawning

Tx = clonidine, methadone, buprenoprhine

Question 9

PCP

Answer 9

Violence, agitation, nystagmus, HTN, sz

Tx = anti-psychotics, benzo, talk down

Question 10

Anabolic steroids withdrawal

Answer 10

depression, anxiety, inc concern about body (use SSRIs)

headaches