Chapter 8

Question 1

What are the 3 most commonly abused drugs?

Answer 1

Cocaine
Methamphetamines
Heroin

Question 2

What does cocaine due to the body?(6)

Answer 2

Dysrthymias
Tachycardia
HTN
Cardiac arrest
Aortic rupture
Stroke

Question 3

What does methamphetamines do to the body?(4)

Answer 3

Decreased appetite
Increase HR,RR, BP
Dental problems
Itching

Question 4

What does heroin do to the body? (3)

Answer 4

Collapsed veins
Abscesses at injection sites
Infection of heart valves

Question 5

What does tolerance mean?

( natural course with many medications, not addiction or abuse )

( without the drug, the person may go through depression,anxiety, and irritability )

Answer 5

Adaption to the drug, requiring higher and higher doses to achieve the same effect

Question 6

What is the long term effects of alcohol use disorder?(7)

Answer 6

Stomach aliments
Heart problems
Cancer
Brain damage
Serious memory loss
Immune system compromise
Liver cirrhosis

Question 7

The average person can metabolize how many grams of alcohol per hour?

Answer 7

10

Question 8

What are some complications of alcohol toxicity ?

Answer 8

Aspiration of vomitus
Asphyxiation
Severe dehydration
Seizures
Hypothermia
Brain damamge
Death

Question 9

What medications do we use to help patient with alcohol dependence to help ween them off?(2)

Answer 9

Disulfiram
Acamprostate

Question 10

What does disulfiram do to a patient?

Answer 10

When a patient is now coming off an addiction of alcohol we give this

This medication is taken, and helps aid the withdrawal symptoms, however if a patient takes alcohol while on this medication

It will make them very very sick
( chest pain, difficulty breathing, headache and vomiting )

Question 11

What does acamprosate do to a patient?

What are the 3 symptoms ?

Answer 11

We usually give this to help aid patients with alcohol withdrawal after some time when they are slowly becoming not that addicted

GI symptoms
Itching
Depression

Question 12

What is naltrexone?
What are 4 side effects?

Answer 12

Opioid antagonist

Insomnia
Anxiety
Aches
Pain

Question 13

What are the effects of opioid use disorders?

Answer 13

Euphoria
Tranquility
Reduced pain
Drowsiness
confusion
Nausea
Constipation
Dose dependent respiratory depression

Question 14

What are the 4 drugs we use to help treat opioid use disorder?

Answer 14

Naloxone
Naltrexone
Methadone
Buprenorphine

Question 15

What is naloxone?
Used for?

Answer 15

Again it’s narcan
Respiratory depression to overdose

Question 16

What is naltrexone?
HOWVER THEY MUST BE?

Answer 16

This is not for an overdose, instead it’s just to help aid with withdrawals of opioids

Opioid free for 7-10 days

Question 17

What does methadone do?
What’s the 4 side effects?

Answer 17

It blocks the high effect of the actual opioid

Lightheadness
Constipation
Dizziness
Sedation

Question 18

What is buprenorphine?
What are 3 side effects?

Answer 18

It’s a long acting withdrawl help medication from opioids

Muscle pain
Depression
Withdrawal

Question 19

What are 3 drug assisted treatment for tobacco use disorder?

Answer 19

Nicotine replacement
Bupropion
Varenicline

Question 20

What does bupropion do?

When does it end?

Do not use if person has what disorder?

Answer 20

This is a medication that mimics the effects of nicotine however it reduces the usage of wanting to smoke more

Resulting in people stop smoking by 2 weeks

Seizure

Question 21

What does varenicline do?

It has a what warning? And why?

Answer 21

Decreases cravings and withdrawal symptoms

Black box for serious neuropsychiatric symptoms ( chaosis )

Question 22

Even though electronic cigarettes are marked to help stop smoking is it still safe?

Answer 22

NO!

Question 23

What are two cough and cold products that are abused a lot?

Answer 23

Dextromorphan - robotripping
( psychoactive )
Promethazine- codeine
( euphoria and relaxation )

Question 24

You want to be careful with surgical patients who have a history of abuse on drugs since the anesthesia will not work as well

Monitors igns and symptoms
Delirium
Seizures
Withdrawal

Treat patient with dignity and respect
Pain is higher priority than substance