Bath salts toxicity - Revision history

Vsocrates: changed /* Clinical features */ to match template

2022-04-21T23:29:47Z

changed Clinical features: to match template

← Older revision		Revision as of 23:29, 21 April 2022
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	*Similar effects to [[Ecstasy (MDMA)]], [[cocaine]], [[methamphetamines]]		*Similar effects to [[Ecstasy (MDMA)]], [[cocaine]], [[methamphetamines]]

	==Clinical ~~features~~==		==Clinical Features==
	*[[Sympathomimetic toxicity\|Sympathomimetic toxidrome]]		*[[Sympathomimetic toxicity\|Sympathomimetic toxidrome]]
	**Tachycardia		**Tachycardia

Blsimpso at 14:05, 14 October 2021

2021-10-14T14:05:39Z

← Older revision		Revision as of 14:05, 14 October 2021
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	*[[Sympathomimetic toxicity]]		*[[Sympathomimetic toxicity]]
	*[[Altered Mental Status (AMS)]]		*[[Altered Mental Status (AMS)]]

			==External Links==
			*[http://www.emdocs.net/bath-salts/ emDocs - Bath Salts]

	==References==		==References==

Blsimpso: /* Disposition */

2021-10-14T14:02:17Z

Disposition

← Older revision		Revision as of 14:02, 14 October 2021
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	==Disposition==		==Disposition==
	*Discharge if [[Altered Mental Status (AMS)\|AMS]] and [[Sympathomimetic toxicity\|sympathomimetic]] symptoms resolve with out end-organ damage		===Admission===
	*Admit for lab abnormalities or persistent [[Altered Mental Status (AMS)\|AMS]]		*Admit for lab abnormalities or persistent [[Altered Mental Status (AMS)\|AMS]]
			===Discharge===
			*Discharge after observation period if [[Altered Mental Status (AMS)\|AMS]] and [[Sympathomimetic toxicity\|sympathomimetic]] symptoms resolve with out end-organ damage
			*MDPV has an estimated 6-8 hour duration of action, but may vary. Consider consult with poison control prior to discharge.

	==Complications==		==Complications==

Josgood: /* Clinical features */

2020-10-26T09:16:31Z

Clinical features

← Older revision		Revision as of 09:16, 26 October 2020
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	**Paranoia		**Paranoia
	**Hyperthermia		**Hyperthermia
	*Hallucinations		*[[Hallucinations]]
	*Psychomotor agitation		*Psychomotor agitation

Rossdonaldson1: /* Differential Diagnosis */

2019-09-06T04:21:39Z

Differential Diagnosis

← Older revision		Revision as of 04:21, 6 September 2019
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	==Differential Diagnosis==		==Differential Diagnosis==
	{{Sympathomimetic types}}		{{Sympathomimetic types}}
			{{Drugs of abuse types}}

	==Evaluation==		==Evaluation==

Rossdonaldson1: /* Background */

2019-09-06T04:20:47Z

Background

← Older revision		Revision as of 04:20, 6 September 2019
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	==Background==		==Background==
			[[File:RadoxBathSalts.jpg\|thumb\|Bath salts]]
	*Found in herbal products sold under guise of "not for human consumption"		*Found in herbal products sold under guise of "not for human consumption"
	**May be found under brand name Aura, Ivory wave, Vanilla sky		**May be found under brand name Aura, Ivory wave, Vanilla sky

Mholtz at 20:38, 23 May 2017

2017-05-23T20:38:34Z

← Older revision		Revision as of 20:38, 23 May 2017
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	==Clinical features==		==Clinical features==
	~~[[Sympathomimetic toxicity]] + Psychomotor agitation + [[Hallucinations]]~~

	*[[Sympathomimetic toxicity\|Sympathomimetic toxidrome]]		*[[Sympathomimetic toxicity\|Sympathomimetic toxidrome]]
	**Tachycardia		**Tachycardia
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	**Paranoia		**Paranoia
	**Hyperthermia		**Hyperthermia
	*~~Hallucinogenic~~		*Hallucinations
			*Psychomotor agitation

	==Differential Diagnosis==		==Differential Diagnosis==
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	*Fingerstick glucose		*Fingerstick glucose
	*Complete metabolic panel		*Complete metabolic panel
	*LFTs
	*Coags		*Coags
	*~~Total~~ CK		*CK
	*~~Utox~~ not helpful, usually negative		*Urine tox screen not helpful, usually negative

	===Diagnosis===		===Diagnosis===

Rossdonaldson1 at 04:57, 22 May 2017

2017-05-22T04:57:37Z

← Older revision		Revision as of 04:57, 22 May 2017
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	**Hyperthermia		**Hyperthermia
	*Hallucinogenic		*Hallucinogenic

			==Differential Diagnosis==
			{{Sympathomimetic types}}

	==Evaluation==		==Evaluation==
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	===Diagnosis===		===Diagnosis===
	*Diagnosis is based on history and physical exam		*Diagnosis is based on history and physical exam

	~~==Differential Diagnosis==~~
	~~{{Sympathomimetic types}}~~

	==Management==		==Management==

Rossdonaldson1: /* Diagnosis */

2017-05-22T04:50:29Z

Diagnosis

← Older revision		Revision as of 04:50, 22 May 2017
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	*Utox not helpful, usually negative		*Utox not helpful, usually negative

	==Diagnosis==		===Diagnosis===
	*Diagnosis based on history and physical exam		*Diagnosis is based on history and physical exam

	==Differential Diagnosis==		==Differential Diagnosis==

Rossdonaldson1 at 04:50, 22 May 2017

2017-05-22T04:50:14Z

← Older revision		Revision as of 04:50, 22 May 2017
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	==Evaluation==		==Evaluation==
	*Diagnosis based on history and physical exam		===Work-Up===

	==Work-Up==
	*Fingerstick glucose		*Fingerstick glucose
	*Complete metabolic panel		*Complete metabolic panel
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	*Total CK		*Total CK
	*Utox not helpful, usually negative		*Utox not helpful, usually negative

			==Diagnosis==
			*Diagnosis based on history and physical exam

	==Differential Diagnosis==		==Differential Diagnosis==
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	==Management==		==Management==
	*[[Benzodiazepines]] for agitation		*[[Benzodiazepines]] for agitation
	* Do not use butyrophenones (Haldol) or second gen antipsychotic (Geodon) first line
	**Interfere with heat dissipation, lower seizure threshold, may prolong QTc
	*Rapid cooling for hyperthermia		*Rapid cooling for hyperthermia
	*Paralyze if hyperthermia uncontrolled (avoid [[Succinylcholine]] due to hyperkalemia)		*Paralyze if hyperthermia uncontrolled (avoid [[Succinylcholine]] due to hyperkalemia)
	*IV hydration		*IV hydration
	*Monitor urine output		*Monitor urine output

			===Contra-indicated===
			*Do not use butyrophenones (e.g. [[Haldol]]) or second gen antipsychotic (e.g. [[Geodon]]) as first line agents
			**They interfere with heat dissipation, lower seizure threshold, may prolong QTc

			==Disposition==
			*Discharge if [[Altered Mental Status (AMS)\|AMS]] and [[Sympathomimetic toxicity\|sympathomimetic]] symptoms resolve with out end-organ damage
			*Admit for lab abnormalities or persistent [[Altered Mental Status (AMS)\|AMS]]

	==Complications==		==Complications==
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	*[[Aortic dissection]]		*[[Aortic dissection]]
	*Acute tubular necrosis		*Acute tubular necrosis

	~~==Disposition==~~
	*Discharge if [[Altered Mental Status (AMS)\|AMS]] and [[Sympathomimetic toxicity\|sympathomimetic]] symptoms resolve with out end-organ damage
	*Admit for lab abnormalities or persistent [[Altered Mental Status (AMS)\|AMS]]

	==See Also==		==See Also==