General term for “designer drugs” containing synthetic cathinones:
3,4 methylenedioxypyrovalerone (MDPV) is most common in US
Also mephedrone, methylone, and many others
Often unobtainable or incomplete
Friends, family, bystanders may provide information about patient behavior
High index of suspicion when signs and symptoms are present...
Oxygen administration if needed
Stabilize airway, establish IV, vital signs, cardiac monitoring
All patients with symptoms should be admitted for monitoring
Severe symptoms including uncontrollable hypertension, altered mental status, cardiovascular instabil...
A sympathomimetic toxidrome with delirium/psychosis should arouse suspicion for “bath salts” intoxication
Severe hyperthermia should be aggressively controlled
Focused supportive car...
Borek HA, Holstege CP. Hyperthermia and multiorgan failure after abuse of “bath salts” containing 3,4 methylenedioxypyrovalerone. Ann Emerg Med. 2012;60(1):103–105.
T43.8X1A Poisoning by oth psychotropic drugs, accidental, init
T43.8X4A Poisoning by oth psychotropic drugs, undetermined, init
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