d-methamphetamine

CAS RN: 537-46-2

Laboratory

A) Monitor vital signs (including core temperature) and mental status.
B) Serum concentrations of amphetamine and related agents are not readily available or clinically useful.
C) Urine toxicology screens may detect amphetamines as a class, but do not distinguish between pharmaceutical and illicit forms. False positive amphetamine results may occur after exposure to over-the-counter cold preparations containing ephedrine or pseudoephedrine.
D) No specific lab work is needed in patients with mild clinical signs and symptoms.
E) In patients with severe toxicity, monitor serum electrolytes, CK, renal function, and troponin.
F) Obtain an ECG and institute continuous cardiac monitoring.
G) Consider chest radiograph or CT to exclude pneumothorax or aortic dissection as clinically indicated.
H) Consider a brain CT to exclude traumatic injury or cerebrovascular accident as clinically indicated.
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