Potent Potables
A suicide attempt by ethylene glycol ingestion may result in failure of this organ
What are the Kidneys?
Whereas over half of suicide completions in the US are by firearms, the vast majority (about 84%) of attempts are by this method
What is Ingestion?
Don’t forget to check this in a patient who has overdosed on dextromethorphan
What is Acetaminophen?
This illicit drug can cause horizontal, vertical, or rotatory nystagmus
What is Phencyclidine?
These medications are used in the management of acute dystonia
What are Diphenhydramine 50 mg IM or IV OR Benztropine 1-2 mg IM or IV
A component of many popular drinks, this substance may contribute to patients’ palpitations
What is Caffeine?
This is the most common location for suicide in the US
What is the Golden Gate Bridge?
Acute lithium toxicity with a level greater than this will require emergent hemodialysis
What is 4 mEq/L?
This drug of abuse has been implicated as a risk factor for developing schizophrenia
What is Cannabis?
This medication is used in the treatment of catatonia
What is Lorazepam 1-2 mg PO, IM, IV (or ECT)
At average rate of metabolism, a patient with serum ethanol level of 0.300 g/dL will be legally sober after this many hours
What is 8-12 hrs (0.02-0.03 g/h)?
Suicide is the 2nd leading cause of death among this age group
What are 25-34 year olds (young adults)?
An patient with anorexia nervosa is at risk for refeeding syndrome if he/she has this lab finding
What is Hypophosphatemia?
QTc prologation and hypogonadism are just two possible side effects of this substance
What is Methadone?
These three medication classes can be used to manage acute akathisia
What are Beta blockers, Anticholinergics, and Benzodiazepines?
These laboratory findings can, along with clinical picture, point to chronic alcohol consumption (name at least 3 for full points)
What are elevated MCV, elevated AST:ALT ratio, elevated GGT, low Mg, elevated CDT?
[Positive ethyl glucuronide in urine can point to recent alcohol ingestion]
Worldwide, 30% of suicide completions are by ingestion of these
What are Pesticides?
These are lab abnormalities commonly associated with neuroleptic malignant syndrome (name at least 2)
What are Elevated CPK, Elevated WBC, Low Serum Iron?
When prepared as Suboxone, Naloxone is added to Buprenorphine for this reason
What is to block the effects of buprenorphine if injected?
Per APA Practice guidelines, this is the first line treatment for mania or mixed episode
What are Lithium or valproate + antipsychotic?
A. Alcohol withdrawal seizures can occur after this many hours since last drink
B. Delirium Tremens can occur after this many hours since last drink
A. 12-24 hours
B. 48-96 hours
For every one suicide completion, there are about this many suicide attempts
What is 25 (range 20-30)?
Levamisole, an antiparasitic agent often used to cut cocaine, carries a risk of causing this severe laboratory abnormality
What is Agranulocytosis?
This key ingredient of “bath salts” is not included on routine drug screens
What is Cathinone?
This drug is most likely to be considered as an initial treatment for ADHD in those with a substance use disorder
What is Atomoxetine (NE reuptake inhibitor)?