Marijuana toxicity: Difference between revisions

No edit summary
No edit summary
Line 38: Line 38:


==Disposition==
==Disposition==
 
*Discharge when clinically sober


==See Also==
==See Also==

Revision as of 00:23, 12 May 2016

Background

  • Marijuana is the most commonly used illegal substance in the world[1]

Clinical Features

  • Excessive and purposeless motor activity of the extremities (hyperkinesis)
  • Lethargy
  • Tachycardia
  • HTN or orthostatic hypotension
  • Tachypnea
  • Conjunctival injection
  • Dry mouth
  • Increased appetite
  • Nystagmus
  • Ataxia
  • Slurred speech
  • Synthetic Cannibis
    • Aggressive behavior
    • Psychosis
    • Dystonia
    • Seizures
    • Tachycardia

Differential Diagnosis

  • ETOH
  • Hypoglycemia
  • Meningitis/Encephalitis
  • TBI
  • Drugs - Opioids, Antihistamines, Anticholinergics, Antipsychotic agents
  • CO poisoning

Diagnosis

  • Clinical Diagnosis
  • Utox helpful, but can be negative with synthetic cannibis

Management

  • Supportive care, if concerned for mixed ingestion, try other reversal agents

Disposition

  • Discharge when clinically sober

See Also

External Links

References

  1. Leggett T, United Nations Office on Drugs and Crime. A review of the world cannabis situation. Bull Narc 2006; 58:1.