Chapter 22 Part 4 Flashcards

1
Q

Nonjudgmental attitude

A

Maintain an open and accepting demeanor.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Patient reassurance

A

Confirm condition is drug-related, temporary.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Verbalization assistance

A

Help patient express their experiences.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Event timeline

A

Outline expected sequence of occurrences.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Concrete statements

A

Use clear, simple language for communication.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Orientation

A

Help patient recognize time, place, and people.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Self-identification process

A

Assist patient in recognizing familiar objects.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Forewarning about drug effects

A

Prepare patient for changing mental states.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Talk-down technique

A

Avoid using with PCP-affected patients.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Substance abuse emergencies

A

Result from recent or cumulative substance use.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Alcohol abuse treatment

A

Address acute intoxication and related conditions.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Drug withdrawal

A

Symptoms occur when drug use is reduced.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Drug tolerance

A

Increased doses needed for same effects.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Psychological dependence

A

Compulsive behavior focused on drug acquisition.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Physical dependence

A

Physiological changes require drug to avoid withdrawal.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Commonly addictive drugs

A

Include narcotics, alcohol, sedatives, cocaine.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Withdrawal symptoms onset

A

Begins when next dose is due.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Withdrawal symptoms peak

A

Usually peaks 24-48 hours after cessation.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Signs of withdrawal

A

Include anxiety, agitation, confusion, tremors.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Alcohol use disorder

A

Characterized by problem drinking and addiction.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Signs of intoxication

A

Odor of alcohol on the breath.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Caution with alcohol breath

A

May indicate other medical conditions.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Seizure risk in withdrawal

A

Withdrawal can lead to seizures and complications.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Swaying and unsteadiness

A

Loss of balance often seen in intoxication.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Slurred speech

A

Impaired verbal communication due to alcohol effects.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Nausea and vomiting

A

Common physical reactions to excessive alcohol consumption.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Flushed face

A

Redness of the face indicating possible intoxication.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Drowsiness

A

State of reduced alertness often caused by alcohol.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Erratic behavior

A

Unpredictable actions often linked to intoxication.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Self-injury

A

Harmful actions towards oneself, often unrecognized.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Alcohol as a depressant

A

Substance that slows down brain function and reaction.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

Respiratory center paralysis

A

Severe alcohol overdose can stop breathing.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

Vital signs monitoring

A

Constant assessment of patient’s health indicators.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

Aspiration prevention

A

Positioning to avoid inhaling vomit during unconsciousness.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

Alcoholism forms

A

Includes beer, wine, hard liquor, and other substances.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

Sedative dependency

A

Common co-occurrence of alcohol and sedative abuse.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

Withdrawal symptoms

A

Physical reactions after stopping alcohol intake.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

Delirium tremens (DTs)

A

Severe alcohol withdrawal syndrome with confusion and tremors.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

Blackout periods

A

Loss of memory during excessive drinking episodes.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

Wernicke-Korsakoff syndrome

A

Brain disorder from alcohol toxicity and malnutrition.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

Chronic gastric ulcer

A

Long-term stomach sores often related to alcohol.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

Upper gastrointestinal hemorrhage

A

Severe bleeding in the esophagus due to varices.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

Hypoglycemia

A

Low blood sugar levels, common in alcoholics.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
44
Q

Subdural hematoma

A

Blood accumulation between the brain and its outer covering.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
45
Q

Withdrawal syndrome

A

Symptoms occurring after reducing alcohol intake.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
46
Q

Cirrhosis of the liver

A

Severe liver scarring from long-term alcohol abuse.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
47
Q

Cardiomyopathy

A

Heart muscle disease linked to chronic alcohol consumption.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
48
Q

Alcohol Withdrawal Syndrome

A

Symptoms from abrupt cessation of alcohol use.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
49
Q

Dose-Dependent

A

Severity increases with higher alcohol consumption.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
50
Q

Delirium Tremens

A

Severe, life-threatening alcohol withdrawal stage.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
51
Q

Alcoholic Tremulousness

A

Stage 1 symptoms include tremors and insomnia.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
52
Q

Alcoholic Hallucinosis

A

Stage 2 characterized by visual and auditory hallucinations.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
53
Q

Withdrawal Seizures

A

Stage 3 seizures with alternating muscle rigidity.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
54
Q

Stage 1 Symptoms

A

Nausea, insomnia, sweating, and tremors.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
55
Q

Stage 2 Symptoms

A

Worsening symptoms with added hallucinations.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
56
Q

Stage 3 Symptoms

A

Major seizures occurring after last drink.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
57
Q

Stage 4 Symptoms

A

Delirium tremens with confusion and hyperirritability.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
58
Q

Mortality Rate of DTs

A

Approximately 15-20% if untreated.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
59
Q

Onset of DTs

A

Occurs 48-72 hours after last drink.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
60
Q

Duration of DTs

A

Lasts 1-5 days, can recur.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
61
Q

Signs of DTs

A

Severe confusion, tremors, and hallucinations.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
62
Q

Common Symptoms of Withdrawal

A

Insomnia, nausea, sweating, and hypertension.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
63
Q

Hyperthermia

A

Elevated body temperature during withdrawal.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
64
Q

Tachycardia

A

Rapid heartbeat often seen in withdrawal.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
65
Q

Opioids

A

Agents mimicking morphine effects, natural or synthetic.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
66
Q

Opiate

A

Natural agents derived from opium.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
67
Q

Narcotic

A

Broad term for agents inducing sleep.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
68
Q

Heroin

A

Naturally occurring opiate acting on opiate receptors.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
69
Q

CDC Overdose Data

A

Estimated overdose deaths increased significantly in 2021.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
70
Q

Opioid Overdose Deaths

A

Estimated 75,673 deaths in 12 months ending April 2021.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
71
Q

Increase in Opioid Deaths

A

Overdose deaths rose by 15% from previous year.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
72
Q

Synthetic Opioids

A

Man-made drugs mimicking natural opioids’ effects.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
73
Q

Fentanyl

A

Synthetic opioid, 50-100 times stronger than morphine.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
74
Q

Methamphetamine

A

Psychostimulant linked to increased overdose deaths.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
75
Q

Tramadol

A

Another commonly abused synthetic opioid.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
76
Q

Nitazenes

A

New class of synthetic opioids identified in forensics.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
77
Q

Carfentanil

A

Opioid used as anesthetic for large animals.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
78
Q

CNS Depression

A

Reduced central nervous system activity and responsiveness.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
79
Q

Respiratory Depression

A

Decreased respiratory rate and tidal volume.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
80
Q

Miosis

A

Constricted pupils, common in opioid toxicity.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
81
Q

Seizures

A

Can occur due to hypoxia from respiratory depression.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
82
Q

Dysarthria

A

Speech disturbance from facial muscle paralysis.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
83
Q

Ataxia

A

Incoordination resulting from hypoxia and cell injury.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
84
Q

Tremors

A

Involuntary muscle contractions due to hypoxia.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
85
Q

Crackles

A

Sounds from pulmonary edema related to hypoxia.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
86
Q

Hearing Loss

A

Altered metabolism affecting ear function.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
87
Q

Hypotension

A

Low blood pressure due to CNS depression.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
88
Q

Bradycardia

A

Slow heart rate resulting from CNS effects.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
89
Q

Nausea

A

Vomiting due to decreased gastrointestinal motility.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
90
Q

Urinary Retention

A

Inability to urinate from urethral sphincter spasm.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
91
Q

Pruritus

A

Itching caused by histamine release.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
92
Q

Naloxone

A

Medication used to reverse opioid overdose effects.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
93
Q

Emergency Medical Care

A

Focus on reversing respiratory and CNS depression.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
94
Q

Opioid Poisoning

A

Severe reaction to opioid drugs requiring emergency care.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
95
Q

Naloxone

A

Opioid antagonist used to reverse overdose effects.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
96
Q

Patient Care Goals

A

Rapid recognition and prevention of respiratory arrest.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
97
Q

Inclusion Criteria

A

Decreased mental status and respiratory depression present.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
98
Q

Exclusion Criteria

A

Altered mental status from non-opioid causes.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
99
Q

PPE

A

Personal protective equipment to prevent exposure risks.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
100
Q

Therapeutic Interventions

A

Support airway, breathing, and circulation before naloxone.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
101
Q

Medication Identification

A

Determine specific opioid taken and time of ingestion.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
102
Q

Cardiovascular History

A

Document patient’s cardiovascular and medication history.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
103
Q

Needle Stick Risk

A

Increased risk of exposure to blood-borne pathogens.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
104
Q

Intravenous Route

A

Preferred for naloxone due to predictable bioavailability.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
105
Q

Intranasal Route

A

Alternative naloxone delivery method for opioid overdose.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
106
Q

Intramuscular Route

A

Another option for administering naloxone effectively.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
107
Q

Assessment Steps

A

Evaluate airway, breathing, circulation, and mental status.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
108
Q

Oxygen Administration

A

Provide supplemental oxygen to support respiratory function.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
109
Q

Transdermal Opioids

A

Opioids delivered via adhesive patches should be removed.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
110
Q

Critical Resuscitation

A

Immediate airway and circulation support before naloxone.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
111
Q

Respiratory Depression

A

Condition warranting naloxone administration in overdose cases.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
112
Q

Titration of Naloxone

A

Incremental dosing until respiratory function is restored.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
113
Q

Adult Naloxone Dose

A

Typical initial dose ranges between 0.4-2 mg.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
114
Q

Pediatric Naloxone Dose

A

Pediatric dose typically 0.1 mg/kg for overdose.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
115
Q

Maximum Naloxone Dose

A

Maximum adult dose is 10 mg IM or ETT.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
116
Q

ETT Route

A

Endotracheal route used in dire overdose situations.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
117
Q

ETT Route

A

Endotracheal tube route for naloxone administration.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
118
Q

Adult Dose

A

Typical initial dose for adults, IM or ETT.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
119
Q

Pediatric Dose

A

Naloxone dose for children, IM, IN, or ETT.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
120
Q

Maximum Dose

A

Highest allowable dose for IM or ETT use.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
121
Q

Naloxone Access

A

Provided to laypersons via public access programs.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
122
Q

Auto-Injector

A

Pre-measured naloxone dose in an auto-injector.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
123
Q

Nasal Spray

A

Single-use bottle containing naloxone for intranasal use.

124
Q

Mucosal Atomization Device (MAD)

A

Device for administering naloxone via needleless syringe.

125
Q

Nasal Administration

A

Divide dose equally between nostrils, maximum per nostril.

126
Q

Titration of Naloxone

A

Adjust naloxone dose until respiratory effort improves.

127
Q

Cardiac Arrest Treatment

A

Naloxone ineffective; prioritize chest compressions and ventilations.

128
Q

High-Potency Opioids

A

Require higher naloxone doses for respiratory depression.

129
Q

Airway Management Goal

A

Ensure adequate oxygenation and ventilation during overdose.

130
Q

Clinical Duration of Naloxone

A

Effect lasts about one hour; opioids longer.

131
Q

Recurrent Respiratory Depression

A

Monitor patients post-naloxone for respiratory issues.

132
Q

Opioid Withdrawal Symptoms

A

Agitation or violence may follow naloxone administration.

133
Q

Scene Safety Measures

A

Prepare for potential violence post-naloxone use.

134
Q

EMS Airway Management

A

Initiate airway support during naloxone administration.

135
Q

Respiratory Depression

A

Key feature of opioid overdose requiring EMS intervention.

136
Q

Opioid Toxic Effects

A

Some opioids cause additional toxicities like seizures.

137
Q

Opioid Combinations

A

Opioids mixed with acetaminophen or aspirin.

138
Q

Example of Opioid Combination

A

Vicodin: acetaminophen and hydrocodone.

139
Q

Example of Opioid Combination

A

Percocet: acetaminophen and oxycodone.

140
Q

Example of Opioid Combination

A

Percodan: aspirin and oxycodone.

141
Q

Example of Opioid Combination

A

Suboxone: buprenorphine and naloxone.

142
Q

Fentanyl Potency

A

Fentanyl is more potent than morphine.

143
Q

Fentanyl

A

A potent synthetic opioid used medically and illegally.

144
Q

Carfentanil

A

An opioid more potent than morphine, used for sedation.

145
Q

Fentanyl analogs

A

Synthetic opioids similar to fentanyl, often illegal.

146
Q

Intranasal route (IN)

A

Administration method avoiding needle stick injuries.

147
Q

Miosis

A

Pinpoint pupils, a sign of opioid overdose.

148
Q

Respiratory depression

A

Decreased breathing rate, common in opioid overdose.

149
Q

Naloxone

A

Opioid antagonist used to reverse opioid effects.

150
Q

Positive end-expiratory pressure (PEEP)

A

Ventilation technique to improve oxygenation in overdose.

151
Q

Analgesia

A

Primary indication for opioid medications, pain relief.

152
Q

Hypoxia

A

Low oxygen levels in the blood, dangerous condition.

153
Q

Hypercarbia

A

Excess carbon dioxide in the bloodstream.

154
Q

Pediatric considerations

A

Opioid overdose signs may appear in newborns.

155
Q

Suction airway

A

Emergency step to clear obstructed breathing.

156
Q

Positive pressure ventilation

A

Technique to assist inadequate breathing.

157
Q

Oxygen administration

A

Providing supplemental oxygen to maintain adequate levels.

158
Q

Intramuscular injection

A

Common route for naloxone administration.

159
Q

Mucosal atomizer device

A

Device for intranasal naloxone delivery.

160
Q

Respiratory distress

A

Difficulty breathing, requiring immediate medical attention.

161
Q

Bradycardia

A

Slow heart rate, a potential opioid overdose symptom.

162
Q

Hypotension

A

Low blood pressure, often seen in overdose cases.

163
Q

Acetyl fentanyl

A

A fentanyl analog associated with illegal drug use.

164
Q

Synthetic opioids

A

Man-made opioids, often more potent than natural ones.

165
Q

Chest wall rigidity

A

Stiffness in chest muscles, common in fentanyl overdose.

166
Q

Naloxone trade name

A

Narcan, used for opioid overdose treatment.

167
Q

Contraindication

A

Known hypersensitivity to naloxone only.

168
Q

Medication Form

A

Liquid form for various administration routes.

169
Q

Administration Routes

A

Intranasal, intravenous, subcutaneous, intramuscular, endotracheal.

170
Q

Intranasal Route

A

Commonly used route by EMTs for naloxone.

171
Q

Naloxone Auto-Injector

A

Device for easy naloxone administration.

172
Q

Typical Dose

A

Dosage varies by administration route.

173
Q

Mucosal Atomization Device (MAD)

A

Device for intranasal naloxone delivery.

174
Q

Patient Restraint

A

Consider restraining aggressive patients post-administration.

175
Q

Reassessment

A

Monitor airway, respirations, and vital signs post-naloxone.

176
Q

Opioid Receptors

A

Naloxone competitively binds to block opioid effects.

177
Q

Side Effects

A

Includes headache, hypertension, and nasal inflammation.

178
Q

Acute Opioid Withdrawal

A

Possible side effect after naloxone administration.

179
Q

Respiratory Depression

A

Primary concern to monitor after naloxone use.

180
Q

Hypotension

A

Low blood pressure to assess post-naloxone.

181
Q

Bradycardia

A

Slow heart rate monitored after naloxone administration.

182
Q

Redosing

A

Repeat naloxone if respiratory depression persists.

183
Q

PCP

A

Dangerous hallucinogen with multiple street names.

184
Q

Emergency Consequences

A

Unique effects of commonly abused drugs.

185
Q

Commonly Abused Drugs

A

Includes PCP, cocaine, amphetamines, and MDMA.

186
Q

Monitoring During Transport

A

Carefully observe patient for stability en route.

187
Q

Naloxone Administration Steps

A

Follow specific steps for effective naloxone delivery.

188
Q

Local Protocol

A

Follow regional guidelines for naloxone use.

189
Q

PCP

A

A cheap drug causing severe psychological effects.

190
Q

Body Fat Storage

A

PCP is stored in body fat, releasing upon weight loss.

191
Q

Cocaine

A

Commonly used drug with serious medical complications.

192
Q

Forms of Cocaine

A

Inhaled, injected, smoked, or free-based forms exist.

193
Q

Crack Cocaine

A

Almost pure cocaine that is smoked.

194
Q

Cocaine Addiction

A

Cocaine is highly addictive and can cause fatal overdoses.

195
Q

Amphetamines

A

Stimulants available in tablets, powders, or crystals.

196
Q

Methamphetamines

A

A potent form of amphetamines, often smoked or injected.

197
Q

Street Names for Methamphetamines

A

Known as crank, go, ice, or crystal.

198
Q

Hallucinogenic Amphetamines

A

Cause hallucinations and are often ingested.

199
Q

Street Names for Hallucinogens

A

Includes Adam, ecstasy, Eve, and tranquility.

200
Q

Central Nervous System Stimulant

A

Amphetamines stimulate the CNS, causing excitement.

201
Q

Methamphetamine Effects

A

Can cause hyperthermia, muscle rigidity, and hallucinations.

202
Q

Skin Sensation

A

Users may feel bugs crawling under their skin.

203
Q

PABS (Bath Salts)

A

Synthetic drugs with stimulant properties, not hygiene-related.

204
Q

PABS Effects

A

Similar to methamphetamine and cocaine, causing severe symptoms.

205
Q

Tolerance and Withdrawal

A

Long-term use of PABS leads to tolerance and cravings.

206
Q

PABS Administration Routes

A

Users can snort, inject, smoke, or ingest PABS.

207
Q

Sympathetic Stimulation

A

PABS can cause tachycardia, hypertension, and hyperthermia.

208
Q

Altered Mental Status

A

PABS use leads to paranoia, agitation, and hallucinations.

209
Q

MDMA (Ecstasy)

A

Psychoactive drug producing empathy and euphoria.

210
Q

MDMA Street Names

A

Also known as E, X, XTC, and Smarties.

211
Q

MDMA Usage

A

Typically taken orally, effects last several hours.

212
Q

Rave Culture

A

MDMA is popular in clubs and festivals.

213
Q

Dehydration

A

Loss of body water, often from sweating.

214
Q

Hyperthermia

A

Dangerously high body temperature.

215
Q

Bruxism

A

Clenching and grinding of teeth.

216
Q

Insomnia

A

Inability to sleep or stay asleep.

217
Q

Increased perspiration

A

Excessive sweating beyond normal levels.

218
Q

Tachycardia

A

Abnormally rapid heart rate.

219
Q

Hypertension

A

Elevated blood pressure above normal.

220
Q

Loss of appetite

A

Reduced desire to eat food.

221
Q

Nausea

A

Feeling of sickness with an urge to vomit.

222
Q

Diarrhea

A

Frequent, loose, or watery bowel movements.

223
Q

Mydriasis

A

Dilated pupils, often due to drug use.

224
Q

Anxiety

A

Intense worry or fear about future events.

225
Q

Paranoia

A

Irrational distrust or suspicion of others.

226
Q

Restlessness

A

Inability to remain still or calm.

227
Q

Memory impairment

A

Difficulty recalling information or events.

228
Q

Depression

A

Persistent feelings of sadness and loss of interest.

229
Q

Intracranial hemorrhage

A

Bleeding within the skull, can be life-threatening.

230
Q

Acute respiratory distress syndrome

A

Severe lung condition causing breathing difficulties.

231
Q

Cerebral edema

A

Swelling of the brain due to fluid accumulation.

232
Q

Hyperpyrexia

A

Extreme elevation of body temperature.

233
Q

Cheyne-Stokes respirations

A

Pattern of breathing with cycles of apnea.

234
Q

Tetrahydrocannabinol (THC)

A

Main psychoactive component in cannabis.

235
Q

Cannabis

A

Plant used recreationally or medicinally for psychoactive effects.

236
Q

Short-term memory decrease

A

Loss of recent memory function.

237
Q

Dry mouth

A

Reduced saliva production leading to thirst.

238
Q

Impaired motor skills

A

Decreased coordination and physical control.

239
Q

Reddening of the eyes

A

Increased blood flow causing eye redness.

240
Q

Tachycardia

A

Increased heart rate above normal.

241
Q

Decrease in blood pressure

A

Lowered blood pressure levels.

242
Q

Auditory illusions

A

False perceptions of sounds.

243
Q

Visual illusions

A

False perceptions of visual stimuli.

244
Q

Pseudohallucinations

A

Vivid sensory experiences recognized as unreal.

245
Q

Ataxia

A

Lack of muscle coordination during voluntary movements.

246
Q

Onset of effects

A

Begins within minutes when smoked.

247
Q

Duration of effects

A

Effects can last several hours.

248
Q

Medical marijuana

A

Used to alleviate symptoms of specific diseases.

249
Q

THC toxicity

A

Low toxicity, not directly fatal.

250
Q

Synthetic cannabinoid

A

Manufactured chemical mimicking THC effects.

251
Q

New psychoactive substance (NPS)

A

Unregulated substances with mind-altering effects.

252
Q

Herbal incense

A

Dried plants sprayed with synthetic cannabinoids.

253
Q

Synthetic marijuana

A

Legal alternative to natural marijuana.

254
Q

Common brand names

A

Includes K2, Spice, Joker, and others.

255
Q

Addictive nature

A

Regular use leads to dependence and withdrawal.

256
Q

Cannabinoid Hyperemesis Syndrome

A

Recurrent nausea and vomiting in chronic users.

257
Q

Hot shower relief

A

Temporary symptom relief from hot showers.

258
Q

Cessation effects

A

Stopping cannabis use eliminates symptoms.

259
Q

Acute episode duration

A

Typically lasts days to weeks.

260
Q

Hypothalamus role

A

Regulates body temperature and digestive function.

261
Q

Cannabinoid Hyperemesis Syndrome

A

Condition causing severe nausea from long-term cannabis use.

262
Q

Long-term cannabis use

A

Daily to weekly marijuana use over several years.

263
Q

Cyclic vomiting

A

Vomiting occurs in a repeated pattern over months.

264
Q

Colicky abdominal pain

A

Crampy abdominal pain associated with cannabinoid hyperemesis.

265
Q

Periumbilical pain

A

Pain located around the umbilical area.

266
Q

Epigastric pain

A

Pain in the upper central region of the abdomen.

267
Q

Symptom relief with hot showers

A

Hot baths alleviate symptoms temporarily.

268
Q

Symptom elimination after cessation

A

Stopping cannabis use resolves symptoms completely.

269
Q

Emergency care focus

A

Ensure adequate airway, ventilation, oxygenation, circulation.

270
Q

Signs of dehydration

A

Vomiting and frequent hot baths cause fluid loss.

271
Q

Acute renal failure

A

Severe complication from untreated cannabinoid hyperemesis.

272
Q

Medication overdose

A

Excessive intake of prescription or over-the-counter drugs.

273
Q

Intentional overdose

A

Patient overdoses to achieve a desired effect.

274
Q

Accidental overdose

A

Unintentional excessive drug intake due to misunderstanding.

275
Q

Synergistic drug interactions

A

Combined effects of multiple medications can be dangerous.

276
Q

Common overdose medications

A

Includes cardiac, psychiatric, OTC pain relief drugs.

277
Q

Bradycardia

A

Slow heart rate, often seen in beta blocker overdose.

278
Q

Hypotension

A

Low blood pressure, common in certain overdoses.

279
Q

Acetaminophen overdose

A

Initially asymptomatic but can cause severe liver damage.

280
Q

Huffing

A

Inhaling substances to achieve psychoactive effects.

281
Q

Toluene

A

Common chemical used in huffing, found in paints.

282
Q

Effects of huffing

A

Causes pleasure, muscle coordination issues, altered mental status.

283
Q

Hypoxia

A

Oxygen deficiency due to inhaled toxins displacing oxygen.

284
Q

Physical exam indicators

A

Look for paint or residue on lips or nose.

285
Q

Huffer

A

Individual who inhales substances to get high.

286
Q

Toluene

A

Chemical commonly found in paints and glues.

287
Q

Freon

A

Refrigerant gas often misused for inhalation.

288
Q

Gas Propellants

A

Substances used to propel aerosol products.

289
Q

Inhaled Poisons

A

Substances that cause immediate systemic effects.

290
Q

Respiratory Compromise

A

Condition where lung function is severely impaired.

291
Q

Decontamination

A

Process of removing toxins from the body.

292
Q

Toxidrome

A

Clinical syndrome associated with specific poison exposure.

293
Q

Organ Impairments

A

Damage to heart, brain, or kidney functions.

294
Q

Antidote

A

Substance that counteracts poison effects.

295
Q

Patient Care Goals

A

Objectives for treating poisoning and overdose cases.

296
Q

Absorption Symptoms

A

Nausea, vomiting, and altered mental status.

297
Q

Ingestion Symptoms

A

Chemical burns, nausea, and respiratory depression.

298
Q

Vital Function Loss

A

Deterioration of airway, breathing, or circulation.

299
Q

Emergency Transport

A

Rapid transfer to medical facility for treatment.

300
Q

Systemic Effects

A

Widespread effects throughout the body from toxins.

301
Q

Respiratory Distress

A

Difficulty breathing due to lung damage.

302
Q

Seizures

A

Neurological episodes caused by toxin exposure.

303
Q

Dilated Pupils

A

Enlarged pupils indicating potential poisoning.

304
Q

Chemical Burns

A

Tissue damage from exposure to harmful substances.

305
Q

Sweating

A

Excessive perspiration often linked to poisoning.