-
naltrexone hydrochloride
revia
- opiod receptor antagonist formerly used to tx narcotic dep now used for etoh
- decr craving
- 50 mg/d
- liver toxicity w high doses
-
rohypnol
- roofies, date rape
- sedative and amnesic
-
GHB
is
- gamma hydroxybutyrate
- ecstacy, liquid ecstasy
-
GHB describe
- club drug popular among youth
- PO, Inj, or snorted
- used by sex predators
- sched 1 drug
-
barbiturates
- commonly used bc cheap
- gas
- glue
- aerosal propellants
-
inhaled substances
barbiturates
3 groups
- hydrocarbon solvents (gas and glue)
- aerosal propellants (spray cans)
- anesthetic and gases (chloroform, nit oxide, laughing gas)
-
inhalants cause
- decr cns + incr hilarity
- excitability
- dangerous cannot be controlled
-
barbiturates
inhalants
deaths from
- asphyxiation
- suffocation
- choking on vomit
-
barbiturates
inhalants
se
- mouth ulcers
- gi probs
- anorexia
- confusion
- ha
- ataxia
-
barbiturates
special risk
for children coming into contact
-
barbiturates
inhalants
brain damage to
- frontal lobe
- cerebellar
- hippocampal
- leads to ataxic gait and mem dysfunc
-
barbiturates
inhalants
used by
- sniffing fumes from cont
- bagging
- huffing rags
-
opiods/narcotics
- oxycodone
- morphine
- codeine
- heroin
- methadone
-
opiods widely used by
swallowing, smoked, snorted, inj (skin pop)
-
buprenorphone Buprenex
- helps detox from opiods alternatively to methadone
- more money
- c narcan = expensive
-
heoin
- most prevalent drug of abuse
- derived from morphine
- less expensive
- less devastating compared to coke
-
cocain and heroin
speed ball
-
oxycodone
- effective painkiller available in
- percocet
- percodon
- tylox
-
oxycodone used by
- crush and swallow
- snort
- inj powder
-
codeine
- cough suppressant
- abuse bc readily availble
- otc now limited
-
methadone
dolophine
- prevent opiod wd sx
- analgesic for ca
- given po and poorly metabolised by liver
- long half life 15-30 h (morphine is 2)
-
opiod detox
meds
- naloxone narcan
- buprenorphine buprenex
-
opiod detox meds work by
- blocks neuroreceptors affected by opiods
- response in few mins w iv narcan
-
narcan used to tx
resp depress associated w opiod od
-
ed etoh and barbiturates
s/s
yawning, rhinorrhea, sweating, chills, goose bumps, tremors, restlessness
-
stimulants
caffeine, nicotine, cocaine/crack, amphetamines/meth, ecstasy
-
cocaine
- highly addictive
- esp crack
- users use q 20 - 60 mins
-
-
-
hallucinogens
2 basic groups
natural and synthetic
-
natural hall
- mescaline peyote
- psilocybin mushrooms
-
mescaline peyote
religious ceremonies; po - norm epinephrine synapse; lasts 12 h
-
peyote high
closes eyes sees vivid colors, beautiful music, intense sounds, good exper, joy and hilaritiy
-
psilocybin mushrooms
- converted to psilocin in stom
- lasts 8 hrs
- hall of time, space, and perceptual alterations
-
natural hall
effect
- dilates pupils
- incr hr, bp, and temp
- tingling skin, invol movements, inability to concentrate, feelings of anx, panic and paranoia
-
weed
- indian hemp plant
- difficult to categorize
- good for ca pts
-
weed effects
- produces sense of well being
- relaxed
- incr hunger
-
weed sx after use
- balance and stability impaired for 8 h
- short term mem
- decision making impaired
- concentration "
- dry mouth
- sore throat
- incr hr
- dilated pupils and red eyes
-
synthetic hall
- lyseric acid diethylamide lsd
- phenocyclidine pcp
-
synthetic hall
report
- distortion in bd image
- sense of depersonalization
- loss of sense of reality
-
emotional consequences of synthetic hall
panic, anx, confusion, paranoid reactions
-
synthetic hall
frank psychotic reactions
bad trip
-
lsd
- stimulates nev sys by tightly binding to serotonin receptors po
- # have killed themselves
- lasts 12 hrs
-
lsd
given to kids
as tattoos
-
lsd effects
- phenomenon
- incr bp, tachy, trembling
- sense of unreality
- perceptual alterations
- distortions
- impaired judgement
- flashbacks
-
lsd phenomenon
- blending of senses, smell a color
- taste a sound
-
lsd bad trip[
ans, paranoia, acute pain
-
pcp
- angel dust
- po iv smoke snort
- lasts 6-8 hrs
-
pcp experience
- high
- peaceful feeling
- perceptual distortions
-
pcp dangers
- incr bp and hr
- ataxia, salivation, vomit
- psych- hostile, bizarre, blank stare, agitation
- catatonic- muscle rigidity alternating w violent outburst
-
ketamine special k
- cow cat tranquilizer
- causes dissociative effect
- bad exp- k hole bc amnesia
-
support groups
- aa and na
- al-anon
- alateen
- rational recovery
-
nsg interventions
- coping skills
- fam communication
- est a trusting ther relationship
- express empathy
- safe environment
- hope for future
- genuineness
-
conscious development group
- pair w partner
- partner punished when u act up
-
-
assessment
ask
- what are you doing
- how much
- when did you last use
-
tasts
cage questionnaire
- c cutdown
- a annoyed
- g guilty
- e eye opener
-
tests
smast
- short
- michigan
- alcoholism
- screening
- tool
-
-
clonidine
- decr htn and nvd
- used in detox process
-
5 signs of relapse
- being around other users
- severe craving
- stop going to aa
- not expressing feelings
- going thru major emotional crisis
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