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



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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