Fast Five Quiz: How Much Do You Know About Substance Abuse and Addiction?

Mary L, Windle, PharmD; Zab Mosenifar, MD; Asim Tarabar, MD

Disclosures

February 03, 2015

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

  • Mydriasis

  • Blood pressure change

  • Perspiration

  • Nausea or vomiting

  • Weight loss

  • 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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