"How High Do They Look?"

Identification and Treatment of Common Ingestions in Adolescents

Teri Moser Woo, PhD, RN, ARNP, CNL, CPNP, FAANP; James R. Hanley, MD, FAAP, Elizabeth Farrington, PharmD, FCCP, FCCM, BCPS, Brady S. Moffett, PharmD, MPH


J Pediatr Health Care. 2013;27(2):135-144. 

In This Article

Common Ingestions in Adolescents


Spice or K2 is the common name for a synthetic cannabinoid or marijuana that is widely available online, in gas stations, or in convenience stores (Johnson, Johnson & Alfonzo, 2011; Munsey, 2011). Spice emerged in Europe in 2004 as a legal alternative to marijuana and is a mixture of dry, shredded plant material that is sprayed with synthetic cannabinoid receptor agonists (Loeffler, Hurst, Penn, & Yung, 2012; NIDA, 2012c). Multiple synthetic cannabinoid agonists have been found in Spice, some of which are banned in the United States and Europe. As one synthetic substance becomes banned, producers quickly adapt to changes in legislation by using similar compounds that are yet to be controlled (United Nations Office on Drugs and Crime [UNODC], 2011).