Question | Answer |
When family members are affected by or influencing the behavior of the abuser = ? | * Codependence |
The two types of codependence = ? | * Enabling = usu due to social pressure or family creates an environment that assists in the abuse.... * Denial = Drug use and abuse is not perceived as a problem by user or family
, and family makes excuses until arrested, then all are against it |
Types of Dependence = ? | * Physical = Chronic use produces tolerance
and can see tolerance..... * Psychological =
Need for a particular substance or activity due to the enjoyable mental affects |
Weird SE of a patient to make you look at a possible drug user = ? | * Hyperthermia |
Receptors that promote the analgesic, sedative & euphoric effects = ? | * Mu receptors (agonists bind and cause these effects) |
Some indications of drug abuse ? | * bite marks from seizures, needle tracts, position of the body, septal issues |
Drug Testing = ? | * Urine is preferred – but drugs are usu gone fast (THC is the exception).... * Screening performed by immunoassayConfirmation by GC or LC/MS/MS (gas chromo. Or liquid chromo.)
... * THC is stored in fat, and when dieting, can release it again |
Caffeine basics = ? | * CNS stimulant that usu in pesticides... * produces Positive and negative effects .... * Overdose is RARE and is about 10g a day |
Caffeine + effects = ? | * higher attention, lower CV risks, lower diabetes risk, and up regulated metabolic state |
Nicotine basics = ? | * commonly found in cigs.... * Parasympathomimetic – stimulant & relaxant..... * Get Physical dependence |
Alcohol basics = ? | * CNS depressant that can cause pulmonary edema..... * Synergy with other drugs
.... * Withdrawal = Delerium Tremens --> see Spiders (BUZZWORD) |
Opiates & Opioids basics = ? | * Opioid = synthetic... Opiate = from poppy plant.... * CNS depressants and activate Mu receptors to cause a Euphoric effect |
Metabolism of Codeine and Heroin = ? | * Both are converted to Morphine |
Opioid SE = ? | * can get N/V sickness, but it is a SE, not an allergy... * constipation |
Amphetamine basics = ? | * is a CNS stimulant used to stay awake .... * can be prescribed meds or meth/crank/mollies/crack |
Cocaine basics = ? | * Ingredient in Coca Cola until 1902.... * still used as an Anesthetic & vasoconstrictor for epistaxis |
Cocaine SEs = ? | * Cerebrovascular = Vasoconstriction --> non-hemorrhagic infarcts..... * Cardiac = Contraction Bands --> MI's..... * See VC where it is inhaled/injected and get necrosis all over |
Lysergic Acid Diethylamide (LSD) = ? | * “superman” effect..... * Vivid visual hallucinations and common in teens who think its neat to take it at school..... * can have trips waaayyy later in life wit hit too |
Ketamine basics = ? | * Dissociative anesthesia = total body anesthesia and totally awake.... * are very hyperactive/reactive to sound/lights... * Ex. Dog bites owner after surgery bc dogs sees stuff |
Phencyclidine (PCP) basics = ? | * Agitation, delusions & terrifying hallucinations upon withdrawal.... * Is the homicidal drug..... *
Psychological dependence |
Drug that also screens positive for PCP, even though it isn't PCP = ? | * Ketamine |
Benzos = ? | * psychological and physical dependence .... * can not withdraw cold turkey, bc of possible death/seizures.. * also used as date rape drugs |
Barbiturates basics = ? | * worked well without addiction potential since no euphoria ..... * Overdose is only 10x a normal dose, where Benzos are 200x normal.... * see a physical addiction... * Overdos = coma and death |
Type of Barb still used ? | * Chloral Hydrate – sedative/hypnotic, still used--> Toxic to GI when mixed with Alcohol...causes severe N/V |
One barb that is Ok, bc it does its job without the euphoric effect ? | * Phenobarbital |
Mary J.-- THC basics = ? | * used as an Appetite stimulant (with chemo).... * no withdrawal Sx or actual physical addiction... * SLOWS stuff down.... * NO evidence that days weed use leads to using other hard drugs |
Testing for THC = ? | * Urine is preferred sample
..... * ALERT – NSAIDS can cause a false positive result with some tests
..... * Confirmation tests – 5-10 days for results
(GC or LC/MS/MS) |
Ecstasy – MDMA basics = ? | * get Fatal hyperthermia and water consumption; seizures (b/c electrolytes washed out) |