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N126-U5-substance ab
Dobrisky-Ilten's suggestions for review for unit 5 substance abuse
| Question | Answer |
|---|---|
| morphine, heroin, oxycontin, vicodin, dilaudid, fentanyl, demerol, methadone, darvon | opiods/opiates |
| signs & symptoms of use: analgesia, euphoria, drowsiness, relaxation, detachment from environment, constipation, nausea, constricted pupils, decreased respiratory rate, slurred peech, impaired judgment, decreased sexual & aggressive drives | opiods/opiates |
| common health problems: sexual dysfunction, gastric ulcers, glomerulonephritis, HIV & Hepatitis with injecting | opiods/opiates |
| Meds used in withdrawal: Methadone, clonipine | opiods/opiates |
| Meds used in overdose: Narcan | opiods/opiates |
| Symptoms of overdose: pinpoint pupils, clammy skin, depressed respiration, coma & death | opiods/opiates |
| med for treatment of opiods/opiates withdrawal symptoms | Clonipine (Catapres) |
| Most common drug used during detox from opiods/opiates | Methadone (Dolophine) |
| symptoms of withdrawal: watery eyes, dilated pupils, runny nose, yawning, tremors, pain, chills, fever, diaphoresis, nausea, vomiting, diarrhea, & abdominal cramps | opiods/opiates |
| signs & symptoms of withdrawal: agitation, restless behavior, depressed mood, fatigue, generalized malaise, increased appetite, vivid & unpleasant dreams, slowing of activity, intense cravings | cocaine |
| all-american drug, aunt nora, barbs, blow, coke, dream, foo-foo dust, her, king's habit, peruvian lady, snow, tardust, witch, zip, candy sugar, devil's dandruff, fast white lady, flave, pariba, shake, shrile, soft, sugar boogers, uptown, white dragon, Yao | street names for cocaine |
| signs & symptoms of usage: constricted blood vessels, dilated pupils, increased body temp, increased HR, higher bp | cocaine |
| symptoms of withdrawal: intense cravings, drug-seeking behaviors, temporary intense depression, irritability, loss of appetite | amphetamines |
| symptoms of withdrawal: h/a, fatigue, yawning, nausea, irritability | caffeine |
| treatment for withdrawal: methadone, 3 mo-1 yr in patient, long-term outpatient | amphetamines |
| s/s of use: delusions, euphoria, dilated/constricted pupils, nystagmus, violence | PCP |
| s/s of overdose: prolonged effects and episodes, anxiety, panic, confusion, blurred vision, increase in bp & temp | PCP |
| neurotransmitter involved is serotonin; these drugs increase the release creating euphoria; if taking SSRIs this patient is at risk for serotonin syndrome & death. | MDMA "ecstasy", MDA, MDEA, Ketamine and PCP |
| special K, vitamin K | ketamine |
| angel dust | pcp |
| ******look up*******s/s of lsd use | .... |
| a benzo, tasteless, colorless, sedative effects, small doses can impair victim for 8-12 hours, also called the forget me pill | rohypnol |
| paint thinners, degreasers, gasoline and glues | inhalants-solvents |
| solvents, gases, nitrites | inhalants |
| refrigerant gases, aerosol gases from whipped cream, spray paints, hair/deodorant sprays, fabric protectors, dust remover | inhalants-gases |
| cyclohexyl nitrite, amlynitrite and butyl nitrite | inhalants-nitrites |
| s/s of usage: acne, slight stimulation, decreased inhibition, LOC, slurred speech, ilusions, drowsiness, n/v, suffocation | inhalants |
| irreversible health problems r/t abuse of inhalants | heart failure, diffuse abnormalities in white brain matter |
| reversible health problems r/t abuse of inhalants | liver/kidney impairment, blood oxygen depletion |
| taking multiple doses of anabolic steroids over a period of time, stopping, then starting again | cycling |
| combination of several types of steroids to maximize effectiveness | stacking |
| starts with low doses of stacked drugs, gradually increases then gradually decreases | pyramiding |
| s/s of use: oily skin, acne, peripheral edem, jaundice, quick muscle and weight gain, purple or red spots on the body, increased injury to tendons and ligaments, trembling, bad breath, n/v | steroids |
| high dose steroid usage effect on teens | stunted growth |
| high dose steroid usage effect on men | shrinking of testicles, reduced sperm count, infertility, baldness, gynecomastia, increased risk for prostate cancer |
| high dose steroid usage effect on women | growth of facial hair, male-pattern baldness, changes in menstruation, enlargement of the clitoris, deepened voice |
| s/s of usage: "high" feeling, inappropriate laughter, grandiosity, sedation, lethargy, impaired cognition, distorted sensory perceptions, impaired motor skills, blood-shot eyes, increased appetite, tachycardia and dry mouth | cannabis |
| long term effects of usage: bronchitis, chronic sinusitis, memory impairment, impaired immune function, reproductive dysfunction | cannabis |
| pharmacological treatment for withdrawal: Zyban, Chantix, Aventyl and catapress | nicotine |
| the patch affect on cravings? | prevents craving |
| catapress affect on cravings? | controls cravings |
| aventyl should not be used for nicotine withdrawal for the patient with a | hx of MI |
| clonidine (catapres) is used to control cravings; patient teaching should include | changing positions slowly to prevent postural hypotension |
| this nicotine withdrawal medication should not be used in patients with asthma or pulmonary disease | nicotine inhaler |
| Bupropion (Zyban) is contraindicated with history of | seizures or eating disorders |
Created by:
Lori Dobrisky
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