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Diagnosing DIRD
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The Drug-Induced Respiratory Disease Website
Philippe Camus, M.D.
Dijon, France
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Narcotics
4
See under: opiates, opioids, morphine, heroin, hydrocodone...
Last update :
14/08/2012
II - Pulmonary edema - Acute lung injury - ARDS
II.a
Pulmonary edema, noncardiogenic (NCPE)
1
IX - Neuromuscular / CNS involvement - Disordered breathing during sleep
IX.d
Respiratory failure from ventilatory depression (due to neuromuscular blockade/paralysis)
4
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Identify causative drugs
Diagnosing DIRD
1
Drug and radiation history
2
Drug singularity - Correct identification of the drug
3
Consistent timing of exposure v. onset of symptoms
4
Clinical, imaging, BAL, pathological pattern consistent with the specific drug
5
Careful exlusion of another cause
6
Remission of symptoms with removal of drug
7
Recurrence with rechallenge (rarely advisable)
8
Causality assessment
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See also under
Heroin (inhaled, insufflated, snorted)
Heroin (intravenous)
Morphine
