the pediatricpoisoned patient - venticare...overwegingen gebruik in laatste maand door scholieren...

Gideon LattenSEH-artsKNMG

The Pediatric PoisonedPatient

Candy, Downers, Sleeping Pills, Tranks, K, K-Pin, Pin, Super Valium, Circles, Date Rape Drug, Forget-Me Pill, La Rocha, Lunch Money, Mexican Valium, Mind Eraser, Roofies, Wolfies, Eggs, Jellies, Moggies, Vallies, Bars, Bicycle Handle Bars, Footballs, French Fries, Hulk, Ladders, School Bus, Xan, Xanies, Zan, Zannies, Zanbars, Z-Bars, Aya, Hoasca, Yagé, Dimitri, The Spirit Molecule, Date Rape Drug, G, Geeb, Georgia Home Boy, Gina, Goop, Grievous Bodily Harm, Liquid E, Liquid X, Scoop, Blind Squid, Cat Valium, Green, Jet, K, K-Hold, Kay, Special K, Super Acid, Vitamin K, Abyssinian Tea, African Salad, Catha, Chat, Kat, Oat, Qat, Biak-biak, Herbal Speedball, Ithang, Kahyam, Ketum, Thom, Acid, Blotter, Dots, Electric Kool Aid, Lucy in the Sky with Diamonds, Purple Haze, Sugar Cubes, Yellow Sunshine, Big Chief, Blue Caps, Buttons, Cactus, Mescal, Moon, San Pedro, Topi, Alice, Boomers, Caps, Cow Patties, Fungus, Hongos, Magic, Magic Mushrooms, Mushies, Pizza Toppings, Shrooms, Tweezes, Angel, Angel Dust, Butt Naked, Dust, Purple Rain, Rocket Fuel, Stardust, Water, Wet, Yellow Fever, Zombie, Black Button, Cactus, Green Button, Half Moon, Nubs, Shaman, Tops, Little Smoke, Magic Mushrooms, Purple Passion, Shrooms, Diviner’s Sage, Magic Mint, Maria Pastora, Sally-D, Bath Salts, Bliss, Cloud Nine, Flakka, Lunar Wave, Scarface, Vanilla Sky, White Lightning, Chiva, Mexican Black Tar Heroin, Mexican Tar, Aunt, AuntNora, Batman, Bazulco, Bernice, Bernie, Big C, Big Rush, Blow, Blowcaine, Bump, C, Candy, Charlie, Coca, Coke, Colombia, Crack, Dust, Flake, Gringa, Hubba, Line, Pearl, Powder, Rail, Rock, She, Snow, Stardust, Stash, White Girl, Speedball, Apple Jacks, Base, Ball, Black Rock, Blotter, Bopper, Chemical, Crack, Dice, Grit, Hail, Hard Rock, Kryptonite, Purple Caps, Nuggets, Rock, Rocks, Sleet, Sugar Block, Topo, Tornado, Trey, Yam, Yay, Black, Black Tar, Black Pearl, Black Stuff, Black Eagle, Boy, Brown, Brown Crystal, Brown Rhine, Brown Sugar, Brown Tape, China White, Dope, Dope, Dragon, The Dragon, H, He, Horse, Junk, Mexican Brown, Mexican Mud, Mexican Horse, Mud, Number 3, Number 4, Number 8, Sack, Scat, Skag, Skunk, Smack, Snow, Snowball, Tar, White, White Nurse, White Lady, White Horse, White Girl, White Boy, White Stuff, 420, Ashes, Atshitshi, Aunt Mary, Bammy, Baby Bhang, Blanket, Blunt, Bo-Bo, Bobo Bush, Bomber, Boom, Bud, Broccoli, Cheeba, Chronic, Cripple, Dagga, Dope, Dinkie Dow, Ding, Dona Juana, Dona Juanita, Flower, Flower Power, Flower Tops, Ganja, Gasper, GiggleSmoke, Giggle Weed, Good Giggles, Good Butt, Grass, Green, Hash, Herb, Hot Stick, Jane, Jay, Jolly Green, JollyGreen Giant, Joy Smoke, Joy Stick, MJ, Maryjane, Mary Jane, Pot, Roach, Reefer, Skunk, Smoke, Trees, Weed, Adam, Beans, Candy, Clarity, Dancing Shoes, Disco Biscuits, E, E-Bomb, Egg Rolls, Eve, Happy Pills, Lover’sSpeed, Malcolm, Malcolm X, Peace, Scooby Snacks, Smartees, The Vowel, Uppers, Vitamin E, Vitamin X, Vowel, X, XTC, Chalk, Christina, Cookies, Cotton Candy, Crank, Crystal, Crystal Meth, Dunk, Fire, Gak, Garbage, Glass, Go Fast, Go-Go Juice, Ice, Meth, No Doze, No Stop, Pookie, Rocket Fuel, Scooby Snacks, Speed, Trash, Tweek, Wash, White Cross, Black Mamba, Bombay Blue, Fake Weed, Genie, K2, Moon Rocks, Spice, Zohai…

We gaan het niet hebben over…

NOW WHAT?

Primaire opvang

A vrij, gebraakt

B bdz ademgeruis 15/min, sat 96%

C RR 108/68, p108/min, geen verwondingen

D EMV 3-5-2

E T 37.2

Identificatie agens & antidotum

Identificatie agens & antidotum

Toxidromen

(Hetero-)anamnese

Risico inschatting

Risico inschatting

Alcohol EMV daling, braken, hypoglycemie, hypothermie

Cannabis wisselende EMV, hallucinaties, braken

MDMA hyperthermie, SIADH, serotoninesyndroom

Absorptie verminderen/eliminatie bevorderen

Maagspoelen

Actieve kool & laxans

Darmlavage

Urine alkaliseren

Hemodialyse

Aanvullend onderzoek

ECG

Tox screening

Lab

Therapie & trajectOpname ter observatie

Aandacht voor glucosespiegels

Aandacht voor temperatuur

Poliklinisch: nazorg

OverwegingenGebruik in laatste maand door scholieren 12-16 jaar:

Alcohol: 25% (18+: 75%)Cannabis: 8% (18+: 25%)XTC: 0.4% (18+: 1%) (18+: 25%)

Meerderheid aankooppogingen alcohol door jongeren slaagt

XTC: ‘adequate’ dosis = 1mg/kg (gemiddelde pil: 167mg)

OverwegingenGebruik in laatste maand door scholieren 12-16 jaar:

Alcohol: 25% (18+: 75%)Cannabis: 8% (18+: 25%)XTC: 0.4% (18+: 1%)

Meerderheid aankooppogingen alcohol door jongeren slaagt

XTC: ‘adequate’ dosis = 1mg/kg (gemiddelde pil: 167mg)

Interessante bronnen

Nationale Drug Monitor

Interessante bronnen

TAKETO WORK

Vragen?

the pediatricpoisoned patient - venticare...overwegingen gebruik in laatste maand door scholieren...

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