RT Book, Section A1 Hay, Jr, William W. A1 Levin, Myron J. A1 Deterding, Robin R. A1 Abzug, Mark J. SR Print(0) ID 1145454714 T1 Cocaine Poisoning T2 Quick Medical Diagnosis & Treatment Pediatrics YR 2017 FD 2017 PB McGraw-Hill Education PP New York, NY SN 9781264257614 LK accesspediatrics.mhmedical.com/content.aspx?aid=1145454714 RD 2024/04/20 AB Cocaine is absorbed intranasally or via inhalation or ingestionA local anesthetic and vasoconstrictor, cocaine is also a potent stimulant to both the CNS and the cardiovascular systemEffects are noted almost immediately when the drug is taken intravenously or smokedPeak effects are delayed for about an hour when the drug is taken orally or nasallyIn addition to those poisoned through recreational use of cocaine, others are at risk of overdoseA "body stuffer" is one who quickly ingests the drug, usually poorly wrapped, to avoid discovery; toxicity typically manifests within hours of ingestionA "body packer" wraps the drug carefully for prolonged transport; person is asymptomatic unless the package ruptures, usually days later