Stimulants

Stimulants

  • Highly addictive
  • Increase cardiac activity
  • Excite CNS by increasing neurotransmitters
    • Norepinephrine
    • Serotonin
    • Dopamine
  • Toxicity
    • Sympathetic overdrive
      • Can be fatal
      • No antidote
      • Emergency management is based on clinical manifestations
      • Supportive care for agitation and cardiovascular symptoms
  • Withdrawal
    • Not an emergency
    • Supportive care
      • Quiet environment
      • Sleeping and eating at will
      • Suicide precautions if indicated

Assessment findings

Interventions

Cardiovascular

  • Ensure patent airway.
  • Establish IV access and initiate fluid replacement as appropriate.
  • Obtain a 12-lead ECG and initiate ECG monitoring.
  • Treat ventricular dysrhythmias as appropriate with lidocaine, bretylium (Bretylol), or procainamide (Pronestyl).
  • Hypertension and chest pain may require administration of nitroprusside (Nipride) or phentolamine (Regitine).
  • Aspirin may be administered to lower the risk of myocardial infarction.
  • Administer IV diazepam (Valium) or lorazepam (Ativan) for seizures.
  • Administer IV antipsychotic drugs for psychosis and hallucinations.
  • Monitor vital signs and level of consciousness.
  • Initiate cooling measures for hyperthermia.
  • Palpitations
  • Tachycardia
  • Increased BP
  • Dysrhythmias
  • Myocardial ischemia or infarction

Central Nervous System

  • Feeling of impending doom
  • Euphoria
  • Agitation
  • Combativeness
  • Seizures
  • Hallucinations
  • Confusion
  • Paranoia
  • Fever

Share:

More Posts

Shoulder Injuries and Disorders

Summary Your shoulder joint is composed of three bones: the clavicle (collarbone), the scapula (shoulder blade), and the humerus (upper arm bone). Your shoulders are

Stroke Signs and Symptoms

Learn what to do if you or someone else is having a stroke. During a stroke, every minute counts! Fast treatment can lessen the brain damage

The Emotional Benefits of Exercise

Research shows the benefits of exercise go beyond just physical well-being. Learn how physical activity helps support emotional and mental health. Share this infographic and