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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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Drugs
Patterns
Opiates - Opioids - Opium
5
II.b
ARDS - Acute lung injury
1
Last update :
31/03/2014
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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
More detailed checklist
See also under
Antidotes
Body packing
Cannabinoids - Cannabinoid receptor agonists (synthetic) (K2, Spice)
Cannabis oil, paste, resin-H oil-Cannabidiol (inhaled)
Diacetylmorphine
Ethanol (ethyl alcohol, 'alcohol')
Fentanyl
Heroin (inhaled, insufflated, snorted)
Heroin (intravenous)
MT-45
Morphine
Naloxone
Opioids (synthetic)
Opium
Sufentanil
U-47700
Publications
Revisiting opioid overdose induced acute respiratory distress syndrome.