Substance abuse: Alcohol abuse = medical, behavioral or social problems related to excessive alcohol consumption Alcoholism = chronic dependence on alcohol and a pattern of abnormal behaviors. Severe intoxication can result in cardiac dysrhythmias, shock and death. Conditions that may mimic alcohol intoxication: drug abuse, brain tumor, hypoglycemia, meningitis, head injury, stroke, postictal state, DKA, […]
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Tricyclic Antidepressants: common are amitriptyline (Elavil), amoxapine (Asendin), clomapramin (Anafranil), doxepin (Sinequan, Adepin), imipramine (Tofranil) and nortriptyline (Aventyl, Pamelor). Block the reuptake of norepinephrine and seratonin in the brain. Some have anticholinergic and cardiac membrane actions. Heat exhaustion and heat stroke. V-Tac dysrythmias. Very dangerous in an overdose because it only takes a few pills. […]
Narcotics/Opiates: CNS and respiratory depressants. Heroin, morphine, codeine, meperidine, propoxyphene, fentanyl, hydrocodone. Euphoria Hypotension Respiratory depression/arrest Nausea Pinpoint pupils Seizures Coma Management: Maintain ABCs. Naloxone (Narcan) antagonizes narcotics (and the users). IV administration may wear off too fast, and wake them up too much. IM dose lasts longer and they awake more slowly.
Poisoning and Overdose Poisoning: exposure to substance that is generally harmful, with no beneficial effects Overdose: excessive exposure to a substance that has normal treatment uses. Nearly ½ involve prescription drugs. Types of toxicological emergencies: Unintentional Poisonings Dosage Errors: accidental by nurses, Drs, family members or self Idiosyncratic reactions: unpredictable side effects Childhood poisoning: inattentive […]