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Contemporaneously, Sclater (24) also made no mention of any Pica type material

Career Accomplishments After graduation from PA school, Asprey practiced clinically in the Department of Pediatrics, Division of Pediatric Cardiology at the University of Iowa Hospitals and Clinics

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Warnings : cocaine toxicity can cause patients to become aggressive, & combative the role of lidocaine in treating ventricular arrhythmias is unclear (there are concerns with it's use due to the fact that it is a Na channel blocker - like cocaine, and may worsen cardiac conduction disturbances or induce seizures) non-selective beta blockers should be avoided (due to concern about creating unopposed alpha-adrenergic mediated coronary vasoconstriction in the presence of elevated catecholamines, with blockade of beta-2 receptors) in the absence of serious toxic reactions, the (non-lethal) acute effects of cocaine are generally short-lived due to its short half life (~50 mins) although this may be prolonged 2-3 fold if alcohol is co-ingested (due to the formation of cocaethylene , which has a longer half life) References: Olson KR (2007): Poisoning & Drug Overdose