OD
Medication commonly given by EMS in the event of an opiate overdose
What is Naloxone or Narcan?
Routes of exposure
What is ingested or inhalation?
A powerful central nervous system stimulant that causes a massive surge of epinephrine and norepinephrine
What is cocaine or what is crack?
Slang names given to methamphetamine (NAME 4)
What are:
Crank; powdered meth, named after bikers hiding it in their motorcycle crankcases.
Tina/Christina/Crissy; used in nightlife and club scenes.
Go-Fast/Go/Flash; rapid, intense rush of energy the stimulant produces.
Poor Man's Cocaine/Redneck Cocaine; cheap manufacturing compared to illicit cocaine.
Other names Tweaks, Gak, Pookie, Cookies, White Cross Crystal, Sip, Stove Top, Trash, Speed, Glass, Cristy, Yellow Bam, Crank, Quartz, Chalk, Methless Quick, Vitamin C, Ice, Chicken Feed, Shabu, CR
A fine, white to off-white crystalline powder. It can sometimes have a pearly, shiny flake texture. It is primarily snorted or dissolved and injected.
What is Powder Cocaine?
IV, IO, IM, IN
What are ways Narcan can be administered?
Time it takes for inhalation of marijuana to peak
What is 10 minutes?
Cocaine intoxicated patients may display these symptoms.
What is severe agitation, extreme strength and paranoia?
Slang terms when meth is intentionally combined or laced with other substances. NAME 2
What is:
Speedball/Screwball; mixed with fentanyl or heroin
Croak/Shabu; mixed with cocaine
Twisters/Fire; mixed with crack cocaine
Hugs and Kisses/Party and Paly (P&P); mixed with ecstasy
Biker Coffee; laced with coffee
Clear, glass-like shards or rock-like chunks. Street level can also appear as a coarse powder ranging in color from whit to yellow, pink or brown.
What is methamphetamine?
Protocols for Narcan dosage, adult and pediatric
What is adult dose - 0.5mg, may repeat every 2 minutes, to a maximum total dose of 8mg?
What is pediatric dose <20kg - 0.1mg/kg with a maximum total dose of 8mg?
Common signs and symptoms of marijuana use - NAME 4
What is tachycardia, tachypnea, hypertension, red eyes, dilated pupils, and delayed reaction times?
Medication to avoid if patient who has consumed Cocaine needs rapid sequence intubation (RSI)
What is Succinylcholine?
Cocaine and succinylcholine both rely on pseudocholinesterase for metabolism; using them together prolongs the toxic effects of both drugs.
Signs and symptoms to look for with methamphetamine toxicity (NAME 4)
What is
Cardiovascular: tachycardia, hypertension, acute chest pain, acute MI, arrhythmias, or aortic dissection
Neurological: dilated pupils, hyperreflexia, tremors, active seizures, acute ischemia, or hemorrhagic stroke
Psychiatric: extreme agitation, acute psychosis, severe paranoia, and violet or unpredictable behavior
Thermoregulatory: Severe hyperthermia (>102.2 F), rhabdomyolysis, or acute renal failure
A highly potent synthetic opioid. Often distributed as a white or off-white powder or pressed into counterfeit prescription pills.
What is Fentanyl?
Naloxone indication
What is suspected or known narcotic induced respiratory depression?
High doses of marijuana can cause these. NAME 4
What is severe anxiety, paranoia, panic attacks, hallucinations and vomiting?
What is the leaves of the South American coca plant.
Treatment for meth toxicity
What is scene-safety, de-escalate, chemical restraint using midazolam, diazepam or lorazepam, hyperthermia management (cold IV infusions), remove restrictive clothing, apply ice packs, fluid resuscitation
Appears as a green, brown, or greenish gray mixture of dried, shredded leaves, stems, seeds and flowers. It emits a distinct, pungent, sweet, skunk-like odor when raw or smoked. It can also be processed into dense brown blocks (hashish) or sticky oils and waxes.
What is Marijuana (Cannabis)?
Opiate overdose indicated administration of Naloxone, NAME 5
Morphine, Heroin, Fentanyl, Hydromorphone, Oxycodone, Meperidine, Methadone, Hydrocodone, Codeine, Diphenoxylate, Propoxyphene, Pentazocine, and Nalbuphine
Syndrome caused by high doses of marijuana
What is Cannabiniod Hyperemesis Syndrome (cyclical vomiting)
Medications used to manage cocaine toxicity
Pure methamphetamine is called
Hydrochloride
"Black tar" a dark, sticky, resinous substance or hard chunk that resembles roofing tar and gives off a strong, vinegar-like odor.
What is Heroin?