Ecstasy Hyponatremia | Medical Algorithm

Are you evaluating a patient who has taken MDMA (Ecstasy)?

Yes

Has the person?

• been excessively sweating and drinking with water only?

Yes

• been drinking water as a compulsive or uninhibited behavior?

Yes

• been intentionally drinking a large amount of fluids to avoid dehydration or toxicity?

Yes

• have a dry mouth and throat?

Yes

• been experiencing excessive thirst?

Yes

• become confused?

Yes

• had a convulsion?

Yes

• been delirious?

Yes

• become comatose?

Yes

Does the person?

• have moderate to severe hyponatremia?

Yes

• have an elevation of serum arginine vasopressin (AVP)?

Yes

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Number of risk factors for hyponatremia following MDMA (Ecstasy)

Number of clinical and laboratory findings

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
- Clinical Prediction Rule for Early Discharge of Patients After Presumed Opioid Overdosage
Clinical Diagnosis, Including Family History For Genetics
Other Testing
- Accumulative Prognostic Index Depressant Intoxication
Severity, Prognosis, Stage
- Clinical Prediction Rule for Early Discharge of Patients After Presumed Opioid Overdosage
- Cannabis Hyperemesis Syndrome (CHS)
Complications
- Respiratory Depression Due to Co-Ingestion of Two or More CNS Depressants
Differential Diagnosis And Mimics, Red Flags
- Differential Diagnosis of Dyspnea in Person Who Abuses Drugs
- Spectrum of Acute Renal Injury Associated with MDMA (Ecstasy) or Other Party Drugs

Therapy

Selection
- Clinical Prediction Rule for Early Discharge of Patients After Presumed Opioid Overdosage

Monitoring

Adverse Effects

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Specialty

Objective

ICD-10

Hyponatremia Associated with MDMA (Ecstasy) Intoxication

Purpose: Purpose: To identifya patient with hyponatremia associated with MDMA (3,4-methylenedioxymethamphetamine, Ecstasy) intoxication.

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Specialty

Objective

ICD-10