1. Samantha Palmer Emery House Jillian Emerson
Bath Salts
Samantha Palmer
Emery House
Jillian Emerson

2. NO!

3. 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

4. Appearance
Powder
Capsules
Crystals

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

6. Routes
Injected
Ingested
Smoked
Snorted

7. 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

8. 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

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

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

11. 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.

12. 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

13. Works Cited
Penders, T. (2012). How to recognize a patient who's high on "bath salts". Journal Of Family Practice, 61(4),
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),
Oz, M. (2011, April 25). Evil Lurking at Your Corner Store. Time, 177(16). Retrieved from
Daniel J. DeNoon. (2011).‘Bath Salts” Have Effects Similar to Meth, Ecstasy. Retrieved from health/news/ /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
McGraw, M. M. (2012). Is your patient high on "bath salts"?. Nursing, 42(1), doi: /01.NURSE d0

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