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Substance use and its implications for the critical care nurses: a literature review

Brotto, Vanessa and Lee, Geraldine 2007, Substance use and its implications for the critical care nurses: a literature review, Intensive and critical care nursing, vol. 23, no. 2, pp. 64-70, doi: 10.1016/j.iccn.2006.11.001.

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Title Substance use and its implications for the critical care nurses: a literature review
Author(s) Brotto, Vanessa
Lee, Geraldine
Journal name Intensive and critical care nursing
Volume number 23
Issue number 2
Start page 64
End page 70
Publisher Churchill Livingstone
Place of publication Edinburgh, Scotland
Publication date 2007-04
ISSN 0964-3397
1532-4036
Keyword(s) substance use
critical care
MDMA
amphetamines
cocaine
Summary 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.
Language eng
DOI 10.1016/j.iccn.2006.11.001
Field of Research 111099 Nursing not elsewhere classified
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2006, Elsevier Ltd
Persistent URL http://hdl.handle.net/10536/DRO/DU:30016491

Document type: Journal Article
Collections: School of Nursing and Midwifery
Higher Education Research Group
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Created: Wed, 17 Jun 2009, 12:39:31 EST by Rachael Wilson

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