Mr. K is a 32-year-old man who was found in his apartment at 2 AM, babbling incoherently and apparently experiencing hallucinations.

Mr. K is a 32-year-old man who was found in his apartment at 2 AM, babbling incoherently and apparently experiencing hallucinations. His friends report that he had been to a party that night and, since the recent breakup of his marriage and loss of his job, he tends to overdo it at social events. They report that during the course of the evening, he consumed very little alcohol but did take a small pill given to him by another partygoer. Paramedics could find no puncture marks and no powder in or around the nose, but his blood pressure was elevated, as was his body temperature. He appeared dehydrated and agitated.

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1. Based on patient history, reports from his friends, and the signs and symptoms noted by the paramedics, identify substances that Mr. K might have consumed. (See Hallucinogens—Ecstasy; Potential Complications of Substance Abuse, Overdose—Ecstasy.)

2. Based on patient history, discuss the social factors that predisposed him to substance abuse. (See Recognition of Abuse.)

3. Discuss any additional problems that he might encounter if he continues his present course of substance abuse. (See Complications of Substance Abuse.)