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Bath Salts

Bath Salts. Samantha Palmer Emery House Jillian Emerson. NO!. Chemical Makeup. Manufactured Different around the world Derivative of cathinone “ khat ” Usually include one or more of the following: m ephedrone Methylone MDPV flephedrone. Stimulant hallucinogenic

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Bath Salts

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  1. Bath Salts Samantha Palmer Emery House Jillian Emerson

  2. NO!

  3. Chemical Makeup • Manufactured Different around the world • Derivative of cathinone “khat” • Usually include one or more of the following: • mephedrone • Methylone • MDPV • flephedrone • Stimulant hallucinogenic • Produces similar effects to amphetamine or cocaine • Increases production and limits reuptake of neurotransmitters

  4. Appearance

  5. Bath Saltsaka… • bliss • blue silk • white horse • energizing aromatherapy • ivory wave • kamikaze • red dove • purple wave • cloud nine • zoom • plant food

  6. Routes

  7. How is it being sold? • Legal vs. non legal • Schedule I controlled substance • “not for human consumption” • Where? • Convenience stores • Head shops • Gas stations • Internet • Price- $25-50 per 50mg packet

  8. Clinical Manifestations & Adverse Effects • hallucinations • anxiety • paranoia • psychosis • erratic behavior • “super human strength” • delirium • suicidal/homicidal thoughts • delusional paracitosis • tachycardia • hypertension • diaphoresis • chest pain • hyperthermia • foaming at the mouth • limb twitching

  9. Treatment No antidote

  10. Nursing Considerations • ABC • Patient safety • Staff safety • Temperature • VS • Neurological system • Physical restraints often needed • Does not show up on standard drug screens

  11. Evidence Based Practice • The most common clinical findings of toxicity that have been found are agitation, tachycardia, and delusions/hallucination, consistent with intoxication of other stimulants. • Low to moderate doses of benzodiazepines such as lorazepam have proven adequate to control signs and symptoms of toxicity. • The use of antipsychotics as a second agent has been beneficial in many cases when benzodiazepine sedation was ineffective. • No relationships have been found between the exposure route and the severity of illness.

  12. Five Must Knows • Not actually salts for your bath • Shumer Law • Signs and symptoms can last for several days • Does not show up on standard drug tests • No antidote

  13. Works Cited • Penders, T. (2012). How to recognize a patient who's high on "bath salts". Journal Of Family Practice, 61(4), 210-212. • Centers for disease control and prevention.(2011). Emergency department visits after use of a drug sold as "bath salts“. MMWR: Morbidity & Mortality Weekly Report, 60(19), 624-627. • Oz, M. (2011, April 25). Evil Lurking at Your Corner Store. Time, 177(16). Retrieved from http://ezproxy.cayugacc.edu:2068/ps/i.do?id=GALE%7CA255021483&v=2.1&u=cayugacc&it=r&p=PPNU&sw=w • Daniel J. DeNoon. (2011).‘Bath Salts” Have Effects Similar to Meth, Ecstasy. Retrieved from http://www.webmd.com/mental- health/news/20110816/bath-salts-like-unlike-meth-ecstasy • Senator Charles E. Schumer United States Senator for New York. (2012, July 9). Shumer Legislation Banning Bath Salts and 29 Other Deadly Synthetic Substances Signed Into Law Today By President Obama. Retrieved From http://www.schumer.senate.gov/record.cfm?id=337207 • McGraw, M. M. (2012). Is your patient high on "bath salts"?. Nursing, 42(1), 26-33. doi:10.1097/01.NURSE.0000408493.33519.d0

  14. Video http://www.youtube.com/watch?feature=player_detailpage&v=bXo-0iFj8Ys

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