Abstract
A 38-year-old male known alcohol abuser, chronic smoker, and IV drug abuser came to the emergency department in inebriated state. On examination, he was cachectic, stuporous with bilateral pin-point pupils. There were multiple black erythematous patches on forearm with multiple injection marks. His pulse rate was 46/min and blood pressure was 82/60 mmHg, and on auscultation, there were bilateral crepitations.
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Chang G, Kosten TR. Detoxification. In: Lowinson JH, Ruiz P, Millman RB, Langrod JG, editors. Substance abuse: a comprehensive textbook. 4th ed. Baltimore: Lippincott, Williams & Wilkins; 2004. p. 579–86.
Holstege CP, Borek HA. Toxidromes. Crit Care Clin. 2012;28(4):479–98. This article reviews the general approach to the poisoned patient, specifically focusing on the utility of the toxidrome. A toxidrome is a constellation of findings, either from the physical examination or from ancillary testing, which may result from any poison. There are numerous toxidromes defined in the medical literature. This article focuses on the more common toxidromes described in clinical toxicology
Marraffa JM, Cohen V, Howland MA. Antidotes for toxicological emergencies: a practical review. Am J Health Syst Pharm. 2012;69(3):199–212. This review highlights the role pharmacists can play a key role in reducing poisoning and overdose injuries and deaths by assisting in the early recognition of toxic exposures and guiding emergency personnel on the proper storage, selection, and use of antidotal therapies
Moeller KE, Kissack JC, Atayee RS, Lee KC. Clinical interpretation of urine drug tests: what clinicians need to know about urine drug screens. Mayo Clin Proc. 2017;92:774–96. pii: S0025-6196(16)30825-4. In this report, technical information related to detection methods of urine drug tests that are commonly used are provided, an overview of false-positive/false-negative data for commonly misused substances in the following categories: cannabinoids, central nervous system (CNS) depressants, CNS stimulants, hallucinogens, designer drugs, and herbal drugs of abuse are given . Brief discussions of alcohol and tricyclic antidepressants as related to urine drug tests is described . The goal of this review was to provide a useful tool for clinicians when interpreting urine drug test results and making appropriate clinical decisions on the basis of the information presented
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Singh, O., Nasa, P., Juneja, D. (2020). Drug Abuse. In: Chawla, R., Todi, S. (eds) ICU Protocols. Springer, Singapore. https://doi.org/10.1007/978-981-15-0902-5_15
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DOI: https://doi.org/10.1007/978-981-15-0902-5_15
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