Ver el código de «Sympathomimetic toxicity»

==Types==
{{Sympathomimetic types}}

==Differential Diagnosis==
{{AMS and fever DDX}}

{{Toxidrome Chart}}

==Work Up==
'''Laboratory'''
*Finger stick glucose (to rule out hypoglycemia)
*Acetaminophen and Salicylate level
*Urine Drug Screen (to verify toxic substance, do not delay treatment for results)
*Serum electrolytes
*Serum creatine phosphokinase
*Creatinine and BUN 
*Urine analysis with myoglobin
*Arterial or venous blood gas if respiratory symptoms present   

'''Cardiac'''
*ECG for prolongation of QTc or QRS intervals

==Management==
*Use [[Benzodiazepines]] as first line agent for agitation, hypertension, and hyperthermia
*May also use Nitroprusside or Phentolamine
*Treat with fluid resuscitation to avoid renal failure secondary to rhabdomyolysis (see below)

*Avoid Succinylcholine due to potential for hyperkalemia in these patients
*Avoid antipyretics
*Avoid pure beta-blockers 


==Complications==
*[[Rhabdomyolysis]] is common complication <ref name="tox">O'Connor AD, Padilla-Jones A, Gerkin AD, et al.  Prevalence of Rhabdomyolysis in Sympathomimetic Toxicity: a Comparison of Stimulants. J Med Toxicol 2015;11(2)195-200</ref>
**[[Bath Salts]] -  63% <ref name="tox"></ref>
**[[Amphetamines]] - 40%
**[[Cocaine]] - 33%

==See Also==
*[[Toxidromes]]

[[Category:Toxicology]]

==References==
<references/>