Electrical cardioversion should be considered for unstable or refractory patients. Once again all IA and IC anti-arrhythmic agents as well as β-adrenergic receptor antagonists are contraindicated and the use of amiodarone is unsupported. Lidocaine becomes the preferred drug with hypertonic sodium bicarbonate reserved for lidocaine failures. Benzodiazepines should be administered for their effects on agitation and heart rate as above and for their additional anti-anginal effects in patients with cocaine associated acute coronary syndromes as well as their anticonvulsant effects. ![]() ![]() Patients should be given oxygen and assisted ventilation if necessary. Additionally, in the setting of cocaine associated myocardial ischaemia and infarction patients will often lack typical clinical findings of cocaine toxicity and wide complex tachycardia is more likely to represent a re-entrant rhythm (ventricular tachycardia) than the aberrantly conducted tachycardia that results from sodium channel blockade. When time permits, standard analyses should be performed on the surface electrocardiogram. True ventricular tachycardia can frequently be distinguished from aberrantly conducted sinus tachycardia discussed above and should be suspected based on clinical and electrocardiographic findings. It is also due to risky sexual behaviors. This is due to sharing contaminated needles and other drug paraphernalia. Cocaine abusers are at increased risk for contracting HIV or AIDS. The health consequences of long-term cocaine abuse include disturbances in heart rhythm, heart attacks, respiratory failure, strokes, seizures, convulsions, and coma. The immediate effects and crack's low cost have made it popular. Because crack is smoked, the user gets a high in less than 10 seconds. ![]() The term crack refers to the crackling sound heard when the mixture is smoked. Crack cocaine resembles white or tan pellets. This is processed to form a rock crystal that can be heated in a pipe. Please use caution if you have experience with epilepsy or any of its symptoms.Crack is the street name for the drug's freebase form. Rhythm Doctor features flashing lights and colors. Online 2P via Remote Play is enabled for this game, but it does not work that well right now due to varying latency)
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