PMID- 17157504
OWN - NLM
STAT- MEDLINE
DCOM- 20070517
LR  - 20160603
IS  - 0964-3397 (Print)
IS  - 0964-3397 (Linking)
VI  - 23
IP  - 2
DP  - 2007 Apr
TI  - Substance use and its implications for the critical care nurses: a literature 
      review.
PG  - 64-70
AB  - BACKGROUND: Illicit drug use in Australia has been increasing and studies 
      indicate that illicit drug users have a higher risk of accidents which may result 
      in the user needing critical care. However, there is a significant gap in the 
      literature specifically pertaining to the implications of drug use in critical 
      care. AIMS: The primary objective was to examine the literature for the 
      physiological effects of methylenedioxymethamphetamine (MDMA), cocaine and 
      amphetamines in critically ill patients. METHODS: A comprehensive literature 
      review was undertaken and a body systems framework was used to categorise the 
      effects of these illicit drugs. RESULTS: The illicit substances addressed have 
      potentially fatal and long-term side effects. For those users involved in 
      accidents or trauma requiring intensive or critical care nursing, the mortality 
      and co-morbidity risks are increased significantly. It is, therefore, important 
      that nurses are able to recognise the specific physiological effects and possible 
      complications that can occur with the use of each illicit drug. CONCLUSION: Both 
      nursing and medical staff need to have a thorough understanding of how illicit 
      substances work and how they can affect the critical care patient and the care 
      they are given.
FAU - Brotto, Vanessa
AU  - Brotto V
AD  - La Trobe University/Alfred Clinical School of Nursing, Alfred Hospital, Prahran, 
      Melbourne 3004, Australia. vanessa.brotto@deakin.edu.au 
      <vanessa.brotto@deakin.edu.au>
FAU - Lee, Geraldine
AU  - Lee G
LA  - eng
PT  - Journal Article
PT  - Review
DEP - 20061208
PL  - Netherlands
TA  - Intensive Crit Care Nurs
JT  - Intensive & critical care nursing
JID - 9211274
RN  - 0 (Adrenergic Uptake Inhibitors)
RN  - 0 (Amphetamines)
RN  - I5Y540LHVR (Cocaine)
RN  - KE1SEN21RM (N-Methyl-3,4-methylenedioxyamphetamine)
MH  - *Adrenergic Uptake Inhibitors/adverse effects/metabolism/pharmacology
MH  - *Amphetamines/adverse effects/metabolism/pharmacology
MH  - *Cocaine/adverse effects/metabolism/pharmacology
MH  - Critical Care/*methods
MH  - Humans
MH  - *N-Methyl-3,4-methylenedioxyamphetamine/adverse effects/metabolism/pharmacology
MH  - Stroke/chemically induced
MH  - Substance-Related Disorders/*nursing
RF  - 27
EDAT- 2006/12/13 09:00
MHDA- 2007/05/18 09:00
CRDT- 2006/12/13 09:00
PHST- 2006/07/12 00:00 [received]
PHST- 2006/11/01 00:00 [revised]
PHST- 2006/11/01 00:00 [accepted]
PHST- 2006/12/13 09:00 [pubmed]
PHST- 2007/05/18 09:00 [medline]
PHST- 2006/12/13 09:00 [entrez]
AID - S0964-3397(06)00135-2 [pii]
AID - 10.1016/j.iccn.2006.11.001 [doi]
PST - ppublish
SO  - Intensive Crit Care Nurs. 2007 Apr;23(2):64-70. doi: 10.1016/j.iccn.2006.11.001. 
      Epub 2006 Dec 8.