Signs of Cocaine Ekg
Diltiazem (Cardizem)
EKG and vital signs as well as patient complaints. History WPW (Wolff Parkinson White) : Do not use drugs that block the AV node. Does not have cross sensitivity to novocaine, cocaine, or tetracaine (different caine family – ester class of anesthetics). … Read Document
Toxidromes
Activated charcoal No major features of toxicity at presentation Observed for 6-8 hours EKG: no QTc prolongation No signs Diaphoresis Tremors Mydriasis Hyperthermia Tachycardia Hypertension Tachypnea Cocaine, Amphetamine Pseudo-ephedrine Sympatho-mimetic Other findings Pupils Vital signs Examples … Get Document
Peripartum Cardiomyopathy
Initial Vital signs: BP 134/78, P-60 R-16 Progressed along labor curve for several hours with Am Heart J 1995;129:421-2 Risk Factors Age >30 years old Multiparity African Descent Maternal cocaine underlying heart disease (ischemic, valvular, or myopathic) 2nd trimester burden Diagnosis EKG … Fetch Full Source
Evaluation And Management Of The Patient Who Has Cocaine …
Patients who have potential cocaine toxicity should receiveacomplete evaluation including a history of cocaine use, recognition of signs and symptoms Weber and colleagues [59] demonstrated the safety ofa 12-hour observation protocol in 302 patients who had cocaine-associ-atedchestpain. EKG evidenceof … Read Here
~When In Doubt, Do The ECG!!!
~Recent cocaine use Yes Signs and Symptoms ~CP or “discomfort” ~Chest pressure or tightness ~New onset stroke symptoms Follow advanced protocols per individual EMS provider 12-Lead EKG … Fetch Full Source
Project SAVE: Sudden Cardiac Death: Awareness, Vision For …
Disease: TGA Senning/Mustard Fontan repair LV outflow obstruction Others Other: Stimulants: Ephedra, cocaine families at higher risk for SCD based upon PPE Form response Increase general awareness of SCD warning signs Familial Disease: Impact of Proband Identification Role of Routine EKG and … Access Document
Recommendations And Guidelines For Preoperative Evaluation Of …
No Recent coronary evaluation No Operating Room Recurrent symptoms or signs? COMMON CRITERIA FOR EKG DIAGNOSES RIGHT ATRIAL HYPERTROPHY -”Peaked” P-waves > 2.5 mV in II syndrome Homocystinuria Rheumatoid arthritis Systemic lupus erythematosus Marathon runners Cocaine … Visit Document
Drug Overdoses Objectives
Cocaine Pics Signs of Cocaine (Stimulant) Overdose • Dilated Pupils • Flushed appearance • Heart Monitoring / 12 Lead EKG • Assess Body Temperature • Apply Cold Packs as Required … Fetch Document
COPD
SBP >180 or DBP >120 Urgency = no signs of end-organ damage Days to Weeks Emergency = signs of end glomerulonephritis Crisis from CVD TTP XS Catecholamines Adrenal/Pheo crisis MAOI Drugs: Cocaine, LSD Cerebral edema, Cerebral infarction CT Chest, TEE or Angiography: Aortic dissection suspected EKG … Access Doc
ECG Dysrhythmias
10 beats/minute VT usually preceeds VF Causes of VT include myocardial ischemia, heart failure, drug toxicity from procainamide, quinidine, or cocaine beats/minute or when the heart rate is slower than expected Sinus bradycardia usually occurs as a response to a reduced demand for blood flow Signs … Access Content
June, 2004 (Federal Bureau Of Prisons – Clinical Practice …
On a case by case basis when signs or symptoms of secondary hypertension are suggested by Degree of alcohol intake • Dietary habits with attention to excessive salt intake • Use of illicit drugs that may affect blood pressure such as cocaine … Fetch Here
Crack Cocaine, Myocardial Infarction, And Troponin I Levels …
EKG changes after cocaine use include P-R, QRS, and Q-T interval prolongation, increased voltage ST-T seg may have been preoperatively as a result of cocaine or preeclampsia- induced vasospasm. However, there were no symptoms or signs of MI while the patient … Get Content Here
Case Files Of The Medical Toxicology Fellowship At The …
An EKG ( Figure 1 ) was performed during the peri-arrest period, which demonstrated a rate of 91 beats/minute, a of 481 msec. Available labs included an EMIT urine qualitative drug screen, which was positive only for cocaine metabolites. The ED service was asked for a full set of repeat vital signs … Fetch Here
Approach To Chest Pain
If young then cocaine until proven otherwise àVitals signs are….VITAL! Go see the patient If the EKG says “acute MI” don’t discount it Review murmurs, basic EKG, and basic … Access Full Source
Chain Of Survival And EMSC
Cocaine-associated chest pain: how common is myocardial infarction? Acad Emerg Case #2 – Vital Signs ? Initial: ?Blood pressure 152/102 ?Pulse 138 … View This Document
Chest Pain Simulation
• Vital signs – Priority diagnoses • Get an EKG within 10 minutes of patients cocaine takes a deep inhalation breath and experiences a sudden, sharp right … Retrieve Here
Cellulitis
Vital signs including O2 sat Obtain IV access 12-lead EKG Done AND reviewed within 10 minutes! PO intake NTG administration at home/in E.R. Note timing, other associated NTG effects Illicit substance ingestion, e.g. cocaine … View Full Source
Case # 5
Abnormalities in vital signs and routine tests (CBC, lytes, urinalysis, EKG, etc) should prompt additional evaluations. Hypoglycemia should be determined immediately with bedside testing. A drug screen should be positive for cocaine metabolites and is useful to … Access Content
SUBSTANCE USE DISORDERS
Cocaine Intoxication Ñ Hypertensive crises Ñ Myocardial ischemia/infarction Ñ Aortic dissection Ñ CVA, CNS hemorrhage Ñ Local ischemic events Ñ Evaluation Ñ History Ñ Physical, neurological, mental status exams Ñ Vital signs Ñ Toxicology Ñ EKG Ñ CK -muscle, cardiac injury Ñ UA -myoglobin Ñ CBC, electrolytes … Access Content