Toxicology CE

Question 1

Name common stimulants

Answer 1

cocaine, crack cocaine, crystal meth, MDMA (ecstasy)

Question 2

Name common narcotics

Answer 2

heroin, codeine, darvon, demoral, morphine, methadone; (opiates)

Question 3

Name common benzodiazepines

Answer 3

valium (diazepam), xanax (alprazolam), ativan (lorazepam), rohypnol (flunitrazepam)

Question 4

What is Prinzmetal’s Angina?

Answer 4

A coronary artery spasm. Causes angina / MI. Usually w/ smokers, high bp, high cholesterol, or from stimulant drugs.

Question 5

PCP stands for? and other.

Answer 5

Phencyclidine. Angel dust. Dissociative anesthetic. NMDA receptor antagonist. RED DANES: rage, erythema (redness of skin), dilated pupils, delusions, amnesia, nystagmus (oscillation of the eyeball when moving laterally), excitation, and skin dryness.

Question 6

LSD stands for:

Answer 6

Lysergic Acid Diethylamide

Question 7

LSD pupils? and other.

Answer 7

Dialated. Nausea and can be violent. Metallic taste sometimes. Action 6-14 hrs

Question 8

GHB stands for

Answer 8

gamma-Hydroxybutyrate

Question 9

Describe GHB

Answer 9

Date rape, rave scene; inhibits removal of alcohol; CNS depressant - biggest threat respiratory arrest (relax, tremor, nausea, tremor, death)

Question 10

Ketamine description

Answer 10

Analgesic/Anesthetic; tends to inc HR and BP; Hallucinations; Sense of time, sense, memory, and identity loss. NMDA receptor antagonist.

Question 11

Hydrocarbons

Answer 11

Aliphatic Hyrdorcarbon - avoid catecholemines, consider beta blocker. Gasoline, lubricating oil, motor oil, mineral spirits, lighter fluid/naphtha, lamp oil, and kerosene, dry cleaning solutions, paint, spot remover, rubber cement, and solvents

Question 12

Anesthetics s/s

Answer 12

flushed face, cool skin, tachycardia, N/V, dizziness, dec perception of time

Question 13

Barbiturates

Answer 13

CNS depressant. Phenobarbital. Largely replaced by benzodiazepines. Antiadrenergic drug.

Question 14

Benzodiazepine s/s & trtmt

Answer 14

CNS depressant; nystagmus; treat with…?

Question 15

Narcotic/Opioid OD s/s

Answer 15

Depressant; pupils constricted; hypotension; withdrawl = flu on crack

Question 16

Narcotic/Opioid OD trtmt

Answer 16

Narcan - titrate for RESPIRATIONS, not to wake completely up! (violent once awake)

Question 17

Narcotics and Intubation - remember what?

Answer 17

If suspect narcotic/opioid overdose, treat with narcan BEFORE intubation!!

Question 18

Stimulant s/s

Answer 18

sympathetic response; can have an MI if struggling; may hallucinate; dilated pupils; bruxism/cracked teeth

Question 19

Stimulant treatment?

Answer 19

Treat with benzodiazepines, i.e. versed, valium, atavan