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A _______ is a drug derived from Opium, or produced synthetically, that relieves pain but also induces euphoria, alters mood, and produces sedation
Narcotic
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An _______ is a medication or drug that relieves pain. It differs from an anesthetic, in that it lowers one’s perception or sensations of pain, rather than stopping nerve transmission.
Analgesic
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Non-Narcotic Analgesics, such as ______, ______, and ______, relieve pain, but do NOT produce narcosis, which means numbness or sedation.
Aspirin, Tylenol, and Motrin
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There are two subcategories of Narcotic Analgesics:
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The term “main ingredient” can be used as a synonym for
alkaloid
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Narcotic Analgesics all share three characteristics:
- 1. They all relieve pain
- 2. They will produce withdrawal signs and symptoms
- 3. They will suppress the withdrawal signs and symptoms
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the generic, or technical, name for Heroin is
Diacetyl Morphine
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is the most commonly-abused illicit Narcotic Analgesic
Heroin
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What are the three natural alkaloids of raw opium:
-
What are the derivatives of Morphine?
- Diacetyl Morphine (Heroin)
- Hydromorphone (Dilaudid)
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What are the derivatives of Codeine?
Hydrocodone (Lortab)
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What are the derivatives of Thebaine?
- Oxymorphone (Numorphan)
- Oxycodone (Oxycontin)
- Buprenorphine (Subutex)
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Sometimes called “Drug Store Heroin” since it is commercially available from medical and pharmaceutical sources
Dilaudid
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Theses are commonly prescribed pain reliever containing Hydrocodone and Acetaminophen
-
Street names for Oxycodone:
“Oxy”; “OC”; “Killer"
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Some Common Synthetic Opiates
- Demerol
- Methadone
- Fentanyl
- Kratom
-
(Mitragyna Speciosa) is produced from the leaves of tropical trees native to Indonesia, Malaysia, Thailand, and other areas of Southeast Asia.
Kratom
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Methods of administration of Narcotic Analgesics vary from one drug to another but may include:
- Some are commonly taken orally
- Some are smoked
- Some are snorted (insufflated).
-
the technical term for “droopy eyelids” is:
Ptosis
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Hypopnea or Bradypnea.
Slowed breathing
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The psychological effects of Heroin begin _________ after the injection.
immediately
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The effects of heroin will usually be observable for up to:
4 – 6 hours.
-
Withdrawal signs of heroin start to become observable 8 – 12 hours following injection they are:
- Goose bumps (usually associated to chills)
- Sweating
- Runny nose
- Tearing
- Vomiting
- Yawning
-
These symptoms begin to intensify from 14 – 24 hours after injection and may be accompanied by:
goose bumps (piloerection), slight tremors, loss of appetite, and dilation of the pupils.
-
Approximately 24 – 36 hours after heroin injection, the addicted user experiences
insomnia, vomiting, diarrhea, weakness, depression, and hot and cold flashes.
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Withdrawal symptoms and signs of heroin use generally reach their peak _____ ____ after injection
2 – 3 days
-
The user’s equipment is commonly referred to as a _______ or _______
“hype kit,” “works.”
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one inch of tracks indicates approximately ___-___ separate injections have been administered in this area.
50 – 100
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This injecting under a scab to hide multiple puncture wounds is referred to as
Trap Dooring
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Scabs develop within about ___-___ hours after a puncture
18 – 24
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After about __ days, a scab usually starts to peel or flake and then falls off.
14
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There is no exact science to classifying the age of puncture wounds. Some general guidelines are:
- Fresh: 12 hrs
- Early: 12-96 hrs
- Late: 5-14 days
- Healing: 14 days+
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What is another, more common, name for the drug called Diacetyl Morphine?
Heroin
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A drug used extensively in maintenance programs as a substitute for heroin.
Methadone
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An analgesic is a drug that ______?
Relieves pain
-
A semi-synthetic narcotic prescribed for chronic or long-lasting pain.
Oxycodone
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