Daily Bolus of LR: Bath Salts

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January 18, 2012 by dailybolusoflr

Bath Salts

* Sold under a number of names (white dove, red dove, white cloud, cloud nine, ivory wave and recently cosmic blast- sold as a “jewelry cleaner”)
* Designer drug that presents similar to patients on stimulants, such as cocaine
* Contain CNS and cardiovascular stimulant such as 3,4 –methylenedioxypyrovalerone (MDPV) or 4-methylmethcarhinone (mephedrone)
* Can be inhaled, injected or swallowed
* Michigan Poison Control presented data on 35 patients after use of bath salts
* Common findings included: tachycardia, agitation, delusions/hallucinations
* At least half of the patients required admission with over 50% of those to an ICU and one patient was dead on arrival to the ED
* The primary treatment, similar to sympathomimetic ingestion is symptomatic care and sedation with benzodiazepines
* In October of the 2011, the DEA made these substances illegal in the US for the time frame of one year

Ref:

http://www.fox2now.com/news/ktvi-ff-synthetic-drugs-bath-salts-jewelry-cleaner-080911,0,2051273.story

Thanks to Andrew O'Donnell, RN for this link!

Emergency department visits after use of a drug sold as “bath salts” – Michigan, November 13, 2010 – March 31, 2011. MMWR Morb Mortal Wkly Rep 2011;60:624-627.

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