Description
Phencyclidine, or PCP, is an illegal street drug that can cause hallucinations, agitation, seizures and death. This drug is available in many forms (tablet, liquid, powder) and can be taken by mouth or smoked. PCP is very addictive.
Symptoms
Agitation (overly excited, violent behavior), altered state of consciousness, catatonic trance (patient does not talk, move, or react), coma, convulsions, hallucinations, high blood pressure, nystagmus (side-to-side eye movements), psychosis, uncontrolled movement, incoordination.
Tests
Common tests used for diagnosis and treatment
Workup:
A history and physical exam will be performed. Tests to rule out other causes of the symptoms may be performed.
Tests:
Pregnancy (BHCG) test, Complete blood count (CBC), Comprehensive metabolic panel (CMP), CT Scan, Electrocardiogram (EKG), Troponin, Urinalysis (UA), X-ray
Other Specific Tests: Urine and/or serum toxicology screen
Specialists:
Medical Toxicology
Workup:
A history and physical exam will be performed. Tests to rule out other causes of the symptoms may be performed.
Tests:
Pregnancy (BHCG) test, Complete blood count (CBC), Comprehensive metabolic panel (CMP), CT Scan, Electrocardiogram (EKG), Troponin, Urinalysis (UA), X-ray
Other Specific Tests: Urine and/or serum toxicology screen
Specialists:
Medical Toxicology
Treatment
Treatment is supportive and depends on the severity of the intoxication but may include: intravenous fluids, sedation, antipsychotics, and physical restraint.