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Central Nervous System Stimulants. Living & Dying Harder & Faster in the Night of the Living Dead. CNS Stimulants. Synthetics - pharmaceuticals - illicit mfg Organics - cocaine. Sub-Categories of CNS Stimulants. Pharmaceutical Stimulants. Medical Uses
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Central Nervous System Stimulants Living & Dying Harder & Faster in the Night of the Living Dead
CNS Stimulants • Synthetics - pharmaceuticals - illicit mfg • Organics - cocaine Sub-Categories of CNS Stimulants
Pharmaceutical Stimulants Medical Uses 1. control of narcolepsy 2. control of hyperactivity in children 3. prevention of fatigue 4. treatment of mild depression 5. control of appetite
Pharmaceutical Stimulants Medical Uses 6. prevention and treatment of surgical shock 7. treatment of Parkinson's disease 8. blood pressure maintenance during surgery 9. enhance the action of certain analgesic drugs 10. antagonize the effects of certain depressant drugs
Pharmaceutical Stimulants Common Examples • Methamphetamine (Desoxyn, Biphetamine) • weight control • Ritalin (methylphenidate) • ADD • Preludin (phenmetrazine) • weight control • Cylert (pemoline) • ADD
Pharmaceutical Stimulants Common Antagonist Examples • Eskatrol • stimulant & depressant combo • Dexamyl • stimulant & depressant combo
Illicitly Manufactured Stimulants • Amphetamine Sulfate • Methamphetamine (speed, crank) • P2P Methods (DL Meth) • Ephedrine Methods (D Meth)
Methamphetamine Ephedrine Methods • Crystal Meth • Ephedrine • Red Phosphorus • Hydriotic Acid • Ice
Methamphetamine Clan Lab Safety Considerations • Do NOT • turn anything on or off • transport chemicals • handle contaminated items
Methamphetamine Clan Lab Safety Considerations • DO • call a supervisor • call narcs • fire dept. standing by, if needed • call Haz Mat team
Methamphetamine • Powder • tan, brown, white, pink, ????
Methamphetamine • Rock • tan, brown, white, pink, ????
Methamphetamine • Rock • tan, brown, white, pink, ????
Methamphetamine • Rock • tan, brown, white, pink, ????
Methamphetamine Methods of Ingestion • Inhaled • Injected
Methamphetamine Methods of Ingestion • Smoked • Oral
Methamphetamine • Liquid • light amber, dark amber, black
Methamphetamine Crystal Meth • Ice
Organic Stimulants • Caffeine • Nicotine • Adrenaline • Cocaine
Cocaine • Coca leaf • Mountains of Bolivia, Peru, Colombia • Chewing, Medical Use, Illicit Use • semi-lengthy mfg process
Forms of Illicit Cocaine 1) Cocaine HCL (powder form)
Forms of Illicit Cocaine 1) Cocaine HCL (powder form)
Forms of Illicit Cocaine 1) Cocaine HCL (powder form)
Forms of Illicit Cocaine 1) Cocaine HCL (powder form)
Forms of Illicit Cocaine 1) Cocaine HCL (snorted, injected)
Forms of Illicit Cocaine 2) Base Cocaine • Free Base • Rock • Crack
Forms of Illicit Cocaine 2) Base Cocaine • Free Base • Rock • Crack
Forms of Illicit Cocaine 2) Base Cocaine (smoked)
CNS Stimulants Possession for Sale • quantity • what does a user normally possess/use? • paraphernalia • scales ... • cut ... • packaging … • pays & owes ...
CNS Stimulants Signs & Symptoms - aggressive - euphoria meth sores - inattention - sweating - paranoia
CNS Stimulants Signs & Symptoms Dopamine & Norepinephrine - restlessness - anxiety - hyperactive - bruxism - irritable - tremors - misperceive time & distance
CNS Stimulants Signs & Symptoms - Cortisone immune system, healing, stress - Histamines itching, allergy-like symptoms
CNS Stimulants Signs & Symptoms white tongue if stimulant smoked
CNS Stimulants Evidence of Smoking Cocaine burnt/blistered thumb/fingers, lips
CNS Stimulants Evidence of Smoking Cocaine blackened gums
CNS Stimulants Signs & Symptoms (High Dose or Low Tolerance) hallucinations extreme paranoia coma convulsions violence death
CNS Stimulants Binging meth psychosis cocaine psychosis Chemically induced 5150’s! ! BEWARE !
CNS Stimulants • Addiction • Chemical Dependency • Tolerance • Overdose
Cocaine Toxicology • Blood • metabolite: 3-5 hours • Urine • metabolite: 36-48 hours
Methamphetamine Toxicology • Blood • while they are under the influence • Urine • 36-48 hours
CNS Stimulants Difference between … CocaineMethamphetamine - anesthetic - not an anesthetic - short duration - longer duration - users convert - users try to mfg.
CNS Stimulant Evaluation 1) Preliminary Observations - Medical Questions - General Observations: hyper, sweaty, dilated pupils, paranoia, … 2) Eye Exams HGN: No VGN: No LOC: No
CNS Stimulant Evaluation 3) Pulse UP! 4) Divided Attention Tests Romberg: Fast Heel to Toe: Fast/Impaired One Leg Stand: Fast/Impaired Finger to Nose: Fast/Impaired
CNS Stimulant Evaluation 5) Pupil Examination • Room Light: Dilated (Mydriasis) • Near Total Darkness: Dilated • Indirect Light: Dilated • Direct Light: Slow Reaction - Hippus: No - Rebound: Cocaine
CNS Stimulant Evaluation 6) Methods of Ingestion Nasal Cavity: possible debris Oral Cavity: possible debris Injection Sites: possibly present Burnt fingers: Cocaine Burnt lips/tongue: Cocaine