Samantha Palmer Emery House Jillian Emerson 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: mephedrone Methylone MDPV flephedrone Stimulant hallucinogenic Produces similar effects to amphetamine or cocaine Increases production and limits reuptake of neurotransmitters

Appearance Powder Capsules Crystals

Bath Salts aka… bliss blue silk white horse energizing aromatherapy ivory wave kamikaze red dove purple wave cloud nine zoom plant food

Routes Injected Ingested Smoked Snorted

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

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

Treatment No antidote Sedatives (ex: benzodiazepines) Directed at signs and symptoms Sedatives (ex: benzodiazepines) 1st and 2nd generation antipsychotics (ex: haloperidol) No antidote

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

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.

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

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

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