Cardiovascular Toxicity

Panic Away

Panic Away Ebook

Get Instant Access

Hypertension: O2, benzodiazepines for sedation, vasodilatation with rapidly acting peripheral vasodilators-phentolamine, nitrogylcerine (NTG), and sodium nitroprusside (SCN). Pulmonary edema: O2, furosemide, morphine sulfate (MS), NTG.

Angina: O2, benzodiazepines (BZs), MS, acetyl-salicylic acid (ASA), NTG, CCBs, (verapamil > diltiazem), avoid beta-blockers.

ST and SVT: O2, BZs, CCBs, adenosine. VT and VF: O2, BZs, NaHCO3, cardioversion, defibrillation, consider lidocaine (avoid brety-lium due to its initial adrenergic response).

Confirm cocaine packs by abdominal x-ray. Institute ECG monitoring. Activated charcoal (AC) and cathartic, then multi-dose activated charcoal (MDAC) to reduce absorption and enhance elimination. Whole-bowel irrigation (WBI) with polyethylene glycol electrolyte solution (PEG-ELS) to reduce gastrointestinal mucosal contact time, speed transit, and increase elimination. Surgical removal for symptomatic patients with packet rupture or intestinal obstruction. Follow-up imaging with abdominal x-rays; consider barium enema.

Figure 9.12 Management: Cocaine v. Heroin Body Packers. A flow chart outlining the clinical practice management strategies for body packers of cocaine or heroin.

Figure 9.13 Phentermine-Fenfluramine (Amphetamine) Cardiomyopathy. Digital subtraction frontal chest radiograph that demonstrates diffuse dilated cardiomegaly, predominantly of the left-sided cardiac chambers consistent with amphetamine-induced dilated cardiomyopathy in an obese patient taking an oral phentermine-fenfluramine combination for weight loss. (Courtesy of Carlos R. Gimenez, M.D., Professor of Radiology, LSU School of Medicine, New Orleans, LA.)

Figure 9.13 Phentermine-Fenfluramine (Amphetamine) Cardiomyopathy. Digital subtraction frontal chest radiograph that demonstrates diffuse dilated cardiomegaly, predominantly of the left-sided cardiac chambers consistent with amphetamine-induced dilated cardiomyopathy in an obese patient taking an oral phentermine-fenfluramine combination for weight loss. (Courtesy of Carlos R. Gimenez, M.D., Professor of Radiology, LSU School of Medicine, New Orleans, LA.)

Was this article helpful?

0 0
Losing Weight Natures Way

Losing Weight Natures Way

Feel Healthier And Look Better Without Resorting To Drugs! Would you like to get your hands on a this report that can teach you everything you need to know about losing weight naturally?

Get My Free Ebook


Post a comment