HALL/DISS/INH/ECS- 17G

Question 1

What is an important diagnostic clue to PCP intoxication?

Answer 1

• nystagmus, incidence of 85%

- nystagmus while AWAKE and AGITATED

Question 2

Special notes about management of agitation of PCP intoxication

Answer 2

• PCP is an anesthetic

- restraints are ill advised

Question 3

Name the hallucinogens

Answer 3

• LSD/Acid
• KETAMINE
• DEXTROMETHOPHAN
• PCP

Question 4

Clues to Ketamine use

Answer 4

• dissociative anesthetic

- diversion from veterinary office

Question 5

Street names for dextromethorphan

Answer 5

-DXM, robo

Question 6

Mechanism of action of dextromethorphan

Answer 6

-NMDA antagonist

Question 7

Special consideration for DXM intoxication/OD

Answer 7

-acetaminophen overdose leading to liver failure

Question 8

Important points for the management of PCP intoxication

Answer 8

• use diazepam for management of agitation or seizures

- DO NOT ACIDIFY URINE leads to metabolic acidosis, rhabdo

Question 9

Important points for management of PCP withdrawal

Answer 9

• close observation/ benzos

- DO NOTE use phenothiazines or anticholinergics dues to seizure risk

Question 10

What is Hallucinogen Persisting Perception Disorder

Answer 10

-re-experiencing of perceptual disturbances after cessation of hallucinogens

Question 11

Lifetime use of inhalants is highest in which age group

Answer 11

• 8y-17y

- 21.7 million age 12 and older have used inhalants atleast once

Question 12

Consequence of inhalant use

Answer 12

-demyelination in brain and SC causing presentation similar to MS

Question 13

MDMA/Ecstasy effects

Answer 13

• selective, long lasting damage to serotonergic nerve terminal (from dorsal raphe)
• produces sympthomimetic effects
• can cause psychotic reactions
• produces feelings of increased self-confidence, sensory sensitivity, peacefulness, and decreased appetite

Question 14

Symptoms of MDMA overdose

Answer 14

• high blood pressure
• faintness
• panic attacks
• loss of consciousness
• seizures