Resumen
Definición
Anamnesis y examen
Principales factores de diagnóstico
- impaired mental status
- drowsiness, slurred speech, ataxia
- coma
- respiratory depression
Otros factores de diagnóstico
- decreased deep tendon reflexes
- nystagmus
- paradoxical stimulation
Factores de riesgo
- depression
- history of illicit drug or alcohol use
- drug administration error
- comorbidity
- drug interaction
- biogenetic susceptibility
- history of benzodiazepine (BZD) use
- history of polydrug or unknown substance ingestion
- suicidal ideation or behavior
- older age
Pruebas diagnósticas
Primeras pruebas diagnósticas para solicitar
- pulse oximetry
- CBC
- serum chemistry panel with blood glucose
- plasma acetaminophen concentration
- serum ethanol
- urine toxicology screen
- ECG
Algoritmo de tratamiento
all patients
Colaboradores
Autores
Paul M. Gahlinger, MD, PhD, MPH

General Practitioner
Paradise Medical Group
Paradise
CA
Divulgaciones
PMG declares that he has no competing interests.
Revisores por pares
Linda Peng, MD
Assistant Professor of Medicine
HMC Improving Addiction Care Team (IMPACT) Lead
Oregon Health & Science University
Portland
OR
Divulgaciones
LP declares that she has no competing interests.
Kenneth Katz, MD, FACMT, FAAEM, FACEP
Emergency Medicine Physician
Lehigh Valley Physician Group
Allentown
PA
Divulgaciones
KK declares that he has no competing interests.
Ruben Thanacoody, MD, FRCP (Edin)
Consultant Physician/Honorary Senior Lecturer
Regional Drugs and Therapeutics Centre
Newcastle-upon-Tyne
UK
Divulgaciones
RT declares that he has no competing interests.
Peer reviewer acknowledgements
BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.
Disclosures
Peer reviewer affiliations and disclosures pertain to the time of the review.
Referencias
Artículos principales
Klega AE, Keehbauch JT. Stimulant and designer drug use: primary care management. Am Fam Physician. 2018 Jul 15;98(2):85-92.Texto completo Resumen
Artículos de referencia
Una lista completa de las fuentes a las que se hace referencia en este tema está disponible para los usuarios con acceso a todo BMJ Best Practice.
Diferenciales
- Alcohol or other sedative or hypnotic drug overdose
- Hypoglycemia
- Hyponatremia
Más DiferencialesGuidelines
- Self-harm: assessment, management and preventing recurrence
- Deprescribing benzodiazepine receptor agonists: evidence-based clinical practice guideline
Más GuidelinesPatient information
Anxiety
Benzodiazepine overdose
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