street drugs vs. prescribed drugs - page 2

by ERRN92

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Ive been a Nurse since 1992. Mainly in Er. Never ever ever give someone who is a crack addict - Ativan. There should be an official warning - it makes crack patients go into overdrive ( as if that were possible). Not sure why,... Read More


  1. 1
    Quote from Esme12

    That is quite the visual!
    I would love to see that.

    Seriously though, is Ativan a depressant? Because "speedballing" (is there a medical term for that?) would explain the craziness.
    Esme12 likes this.
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    Ativan is a benzo, so yes, it is in a downer in the same family as Xanax and Valium. Definitely a speedball.
    Esme12 likes this.
  3. 1
    Quote from Altra
    I have to say, I have not experienced what you seem to have experienced ... and I've worked in 2 different hospitals located in an urban "crack alley" .

    Many of these patients, however, require what might otherwise be considered ungodly amounts of benzos ... just as those with alcohol withdrawal or those coming off of "bath salts" or other hallucinogens.

    Intubation & vec work nicely too ...
    A couple of our more senior Docs will give propofol if we are chasing our tails with midazolam / benzos just seems to interrupt whatever is going on just long enough for the other stuff to settle and avoids heading down the tube road. We have also recently been trialling 10mg straight up of droperidol for rapid tranquilization which is also working well... But I too, firmly believe that a short acting paralytic never hurt anyone
    Altra likes this.
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    Quote from NO50FRANNY
    A couple of our more senior Docs will give propofol if we are chasing our tails with midazolam / benzos just seems to interrupt whatever is going on just long enough for the other stuff to settle and avoids heading down the tube road. We have also recently been trialling 10mg straight up of droperidol for rapid tranquilization which is also working well... But I too, firmly believe that a short acting paralytic never hurt anyone
    I miss Droperidol. I don't see it used anymore in my neck of the woods.
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    I've had a pt addicted to crack get uncontrollable with IM Ativan. We had difficulty getting an IV so we went with the quickest route at the time. The guy went from mildly annoying to being on all fours in the bed acting nuts. Once a line was started and about 35mg of Ativan later the guy was resting nicely. He earned himself a drip and a spot in the ICU for a couple days.
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    The issue is that crack is not purely cocaine. It can be mixed with God only knows what, so when the person smokes, all heck breaks loose. It can be ex-lax, to bath salts, meth, to asprin.....seems to be whatever it is that the dealer has on hand to make the stuff, increase their amount (ie: money) and to heck with anything else. I have seen acute pychosis from meth or salts, acute dehydration from the ex lax, to bleeds from the asprin. And as any crack addicted person will tell you, too much baking soda and it doesn't do what it is supposed to, so it is un-usable. Dealers caught on to the pretty quickly. Like little sadist scientists. In any event, crack addicted people get very little cocaine, but a "purer" cocaine because of the method of delivery, but all the other stuff mixed with it can and does cause all the psychotic behaviors. Oh, and there is not one "crackhead" on the planet. Addicts will get extremely agitated when one suggests they are addicted to crack. They are "freebasing cocaine" and we best not all forget it. PC amongst the addicted. Hence why in my neck of the woods, Vicodin and Oxy are the choice drugs....
    Last edit by jadelpn on May 4, '13
    TheSquire likes this.
  7. 0
    Quote from jadelpn
    The issue is that crack is not purely cocaine. ..
    Lol @ " pure " cocaine
  8. 1
    Quote from SNB1014
    Lol @ " pure " cocaine
    No, PURELY cocaine, meaning MAINLY cocaine which would have been a better descripritive word. Bottom line is that drug dealers could care less what they put in a drug, so addicts don't always get what they believe they are getting.
    Addicts sadly get desperate quickly, Especially with a crack cocaine addiction. So that is the part that adds to an already difficult to stabilize situation.
    So with all due respect, LOL'ing at any addicition is, in my world, inappropriate.
    TheSquire likes this.
  9. 0
    Quote from jadelpn

    No, PURELY cocaine, meaning MAINLY cocaine which would have been a better descripritive word. Bottom line is that drug dealers could care less what they put in a drug, so addicts don't always get what they believe they are getting.
    Addicts sadly get desperate quickly, Especially with a crack cocaine addiction. So that is the part that adds to an already difficult to stabilize situation.
    So with all due respect, LOL'ing at any addicition is, in my world, inappropriate.
    ....... I very much doubt they were "LOL'ing" at the addiction part. And I have trouble feeling sympathetic for the desperation a drug addict feels when trying to get their "fix".


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