To be diagnosed with cocaine intoxication, a patient must have used cocaine recently and must have developed clinically significant behavioral or psychological changes. These changes may consist of euphoria, hypervigilance, talkativeness, grandiosity, anxiety, impaired judgment, anger, tension, changes in sociability, or changes in occupational functioning. Impaired judgment, anger, and tension can be extreme and increase the risk for violent and even homicidal behavior. In addition, the patient must demonstrate two or more of the following nine signs or symptoms during or shortly after the cocaine use:
Tachycardia or bradycardia
Blood pressure change
Nausea or vomiting
Psychomotor agitation or retardation
Weakness, respiratory depression, chest pain, or dysrhythmia
Disorientation, seizures, dyskinesias, dystonias, or coma
For more on the presentation of cocaine intoxication, read here.
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