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Synthetic cannabinoids
- 2. NOWTHEN & BRIEF HISTORY OF RECREATIONAL DRUG USE
- 3. The First Epidemic 1850-1914 • The Chinese immigrate to California •20 Years Later Opium becomes “sporty” •1890’s Opium Dens common place in America •America’s Response
- 4. The Explosion - 1960- 1970 • 50 years later... America forgot! • The New Message - Drugs and Altered states are “hip” • Promote drug use as “normal” • 76 Million Baby Boomers embrace the drugs and its business opportunities
- 5. 1970 - 1980 • Cocaine - Expensive, No serious consequences • Used by the “elite” • Columbia’s involvement brings down the price of cocaine. • Mid 80’s - 6 Million Americans using regularly
- 6. 1986 • Death of College Basketball star Len Bias • Cocaine found to be dangerous and highly addictive • People turn away from cocaine for other drugs • Columbia makes a business move
- 7. What about the 90’s? • Marijuana, inhalants, methamphetamines “first time use” decreased in 1999 (20%) from that of 1981(38%) • Club Drugs
- 8. Synthetic Cannabinoids • John W. Huffman - Clemson University • Research for medical uses of cannabinoids as an alternative to medical marijuana • Published research became available to public
- 12. How they Sell it! • Mixed herbs are sprayed with the synthetic cannabinoids • Marketed under the name “Incense” • Labeled as “Not for human Consumption”
- 13. How it works • Binds to cannabinoid receptors in the human body, primarily the brain • Some strains up to 800 times more powerful than THC • Causes euphoric/numbing sensations. • Altered Mental Perception and confusion • Neurological Disturbances
- 14. Common Names • K2 (JWH-018) • Spice • Gold • Genie • Zohai • Black Mamba Each one of these is a different strain of the synthetic cannabinoid
- 15. Side Effects • Pale • Diaphoresis • Tremors • Seizures • Altered LOC • Bizarre Behavior • Respiratory Depression • Violent Behavior • Respiratory or Cardiac Arrest
- 16. Management • NO KNOWN ANTIDOTES • Respiratory Control • Neurological Care • Cardiac Care • Supportive Care • IV Access • Oxygen administration • 12 Lead ECG Monitoring • Patient safety • Continued Monitoring
- 17. Risks • Addiction • Respiratory Compromise • Hallucinations • Seizures/Neurological • Tachycardia
- 18. BATH SALTS
- 20. Understanding Bath Salts • Mephedrone • Why are they called Bath Salts? • Are they Legal • The Experience
- 21. The Experience • Agitation • Paranoia • Hallucinations • Chest Pain • Suicidal Ideation • Hypertension • Tachycardia • Psychosis There is no test for Bath Salts...
- 25. A new way to fly... MOONFLOWER SEEDS
- 27. The Moonflower • Similar to Jimson (Loco) weed & thorn apple • Anticholinergic Substance blocks neurotransmitters within the nervous system
- 28. Effects • Blurred Vision • Disorientation • Hallucinations • Tachycardia • Dry Mouth & Skin • Death
- 29. Presentation • LSD type behavior • Pick at clothing • Act Violently • Disrobe in public
- 30. Nutmeg • Smoked or Ingested in large quantities • Effects that can last up to 3 days • Hallucinations, voices
- 31. Inhaling Moth Balls! • Hallucinations • Naphthalene - The highly toxic chemical that causes the hallucinations • N/V, Burning Eyes, Dyspnea, Diarrhea, Anemia (Long term exposure), Confusion, convulsions, coma
- 32. Nyquil & Cloricidin • Nyquil & Triple “C” • DXM, Skittles • Effects achieved by intentional overdose (8-16 Pills) • Dextromethorphane • Taken in large amounts causes a person to hallucinate
- 33. QUESTIONS