Drugs Flashcards

0
Q

What kind of drug is alcohol

A

CNS depressant

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1
Q

CNS depressants. What are they? What types are there?

A

They are sedative-hypnotics.

Alcohol, barbiturates, benzodiazepines, flunitrazepam, methaqualone

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2
Q

What kind of drug are barbiturates

A

CNS depressants

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3
Q

What kind of drug are benzodiazepines

A

CNS depressants

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4
Q

What kind of drug is flunitrazepam?

A

CNS depressants

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5
Q

What kind of drug is methaqualone?

A

CNS depressant

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6
Q

What is flunitrazepam also known as?

A

Rohypnol, roofies, rope

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7
Q

What is methaqualone also known as

A

Sopor, ludes

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8
Q

Are benzodiazepines or barbiturates preferred

A

Benzodiazepines are preferred over barbiturates because they are safer and longer acting. They are less harmful if a od is attempted

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9
Q

What are examples of benzodiazepines

A

Librium, Valium, Xanax

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10
Q

What is the initial response of barbiturates

A

Euphoria

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11
Q

CNS depressants are _____

A

Downers

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12
Q

What CNS depressants is there a life threatening withdraw with

A

Alcohol, benzodiazepines, barbiturates

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13
Q

When is onset of CNS depressant after person stops using

A

8-24 hours after they stop using. They can have seizures

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14
Q

What symptoms will you see when somebody is trying to withdraw from CNS depressant

A

Increased temperature, increased heart rate, increased BP

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15
Q

If somebody is not being treated at 48 hour mark for CNS depressant withdraw what may they start having

A

Hallucinations

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16
Q

What may you see at 3-5 day mark if not being treated for CNS depressant withdraw

A

Severe withdraw of delirium tremens. Which is a severe form of alcohol withdraw that involves sudden and severe mental or nervous system changes

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17
Q

How long can confusion last after somebody stops using CNS depressants

A

Up to 50 days

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18
Q

What is Wernicke’s-Korsakoff Syndrome?

A

Brain disorder related to thiamine deficiency. Can have issues with memory, attention deficit, disorientation, and vision impairment. It is usually secondary to alcohol abuse.

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19
Q

What will you see with alcohol withdraw delirium with delirium tremens

A

Loss of muscle coordination, unsteady gait, make up stories

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20
Q

What are signs of phenobarbital toxicity

A

Nystagmus, slurred speech, ataxia

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21
Q

Should you abruptly withdraw from barbiturates and benzodiazepines

A

No abrupt cessation can lead to death

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22
Q

What should word detox be replaced with

A

Therapeutic discontinuation

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23
Q

What are the two stimulants

A

Methamphetamine and cocaine

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24
Q

Is methamphetamine or cocaine longer lasting?

A

Methamphetamine is longer lasting

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25
Q

What can long term use of methamphetamine cause

A

Psychosis like schizophrenia

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26
Q

What things will you see with someone who uses meth

A

Tooth decay, skin lesions, memory impairment

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27
Q

What feeling do people who use meth get?

A

It’s a upper they get euphoria

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28
Q

How can cocaine be used

A

Iv, inhaled, smoked

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29
Q

What feeling do people who use cocaine get?

A

Euphoria

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30
Q

What does meth do with neurotransmitters

A

Pushes norepinephrine and dopamine into synapse causing stimulation

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31
Q

What does cocaine do with neurotransmitters

A

Block reuptake of norepinephrine and dopamine so more in synapse and receptors continually activated

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32
Q

What system is affected with cocaine use

A

Cardiac

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33
Q

How long does rush from cocaine last

A

Only 10-15seconds, then 15-20 seconds after less intense, then they crash

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34
Q

Signs and symptoms of intoxication with stimulants

A

Dilated pupils, increased pulse, increased blood pressure

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35
Q

Signs and symptoms of OD with stimulants

A

Respiratory depression, cardiac event, hyperpyrexia

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36
Q

What do you treat stimulant OD with

A

Antipsychotics

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37
Q

What do you treat stimulant withdraw with

A

Antidepressants

38
Q

What do you see with stimulant withdraw

A

They crave it, fatigue, lethargy

39
Q

What should you look for with meth users

A

Paranoia

40
Q

What are the three legal uses of stimulants

A

Narcolepsy, ADHD, short term weight reduction….high abuse potential but use out-ways risks

41
Q

What are examples of opiates

A

Opium, heroin, meperidine, morphine, codeine, fentanyl, oxycodone HCL, Vicodin

42
Q

What does withdraw of opiates feel like for people

A

Uncomfortable, typically not dangerous, feel like they have the worst case of the flu

43
Q

What is methadone

A

Medication that helps with opiate withdrawal symptoms and does not interfere with the way they think

44
Q

What can overdose of opiates cause

A

Coma, respiratory depression, death

45
Q

What are the natural opiates in the brain

A

Endorphins and enkephalins

46
Q

Signs and symptoms of intoxication of opiates

A

Constructed pupils, euphoria, drowsiness, decreased respirations, decreased blood pressure

47
Q

Signs and symptoms of opiate withdrawal

A

Insomnia, body aches, chills, diarrhea

48
Q

What can be given quickly to help reverse effects of opiates

A

Narcan

49
Q

What is nursing assessment of someone who is taking Clonidine

A

Watch vitals because blood pressure can bottom out

50
Q

Are cannabinoids a CNS depressant?

A

No the cause sedation not a CNS depressant

51
Q

What feelings do cannabinoids give people

A

Relaxation and mild euphoria

52
Q

What are medical uses of cannabinoids

A

Oncology patients to decrease nausea

53
Q

What is it called when people are heavy users of marijuana for a prolonged period of time characterized as suffering from apathy, dullness, lethargy, and impairment of judgement

A

Amotivational syndrome

54
Q

What can heavy daily usage of cannabinoids cause

A

Psychosis

55
Q

What are signs and symptoms of cannabinoids intoxication

A

Mild euphoria and slowed reaction time

56
Q

Toxicity of cannabinoids?

A

Must have large doses and will get toxic psychosis

57
Q

Withdrawal of cannabinoids?

A

No clear pattern

58
Q

Examples of cannabinoids

A

Marijuana and hashish

59
Q

What are examples of hallucinogens

A

LSD, psilocybin, Mescaline-peyote

60
Q

Characteristics of LSD

A

Colorless and tasteless, can put in food or drink unknowingly

61
Q

What kind of distortions are there with hallucinogens

A

Space, time and perceptual distortions

62
Q

What are effects of hallucinogens

A

Bright colors and sound, smell, and taste heightened

63
Q

How are flashbacks with hallucinogens?

A

Long lasting after they quit taking

64
Q

Do hallucinogens cause physical dependance?

A

They are not believed to

65
Q

Signs and symptoms of hallucinogen intoxication

A

Mind altering experiences, increased heart rate , fear of going crazy, diaphoresis

66
Q

Toxicity with hallucinogens

A

Brain damage and death

67
Q

What should you do for somebody who is going through Withdrawal of hallucinogens

A

Low stimuli setting, minimal lights and sounds, and one person at a time in room to provide care

68
Q

What are examples of dissociative anestheics

A

PCP (Phencyclidine) and Ketamine

69
Q

What may dissociative anesthetics cause

A

Euphoria, violence, distorted perceptions, psychotic reaction (like they are outside their own body), anesthetic so no pain, and unpredictability

70
Q

What is the big concern with dissociative anesthetics

A

Violence

71
Q

What are signs and symptoms of intoxication with dissociative anesthetics

A

Increased heart rate, increased blood pressure, numbness, bizarre behaviors

72
Q

What will you see with toxicity of dissociative anesthetics

A

Psychosis and seizures

73
Q

What is important about withdraw of dissociative anesthetics

A

Do not attempt to talk them down and if they go into respiratory distress then that is when you perform medical intervention

74
Q

What is MDMA also known as

A

Ecstasy

75
Q

What is example of a amphetamine like and hallucinogenic drug

A

Ecstasy

76
Q

What are the primary effects of ecstasy

A

Increased heart rate, increased blood pressure, and risk for cardiac events

77
Q

What can ecstasy make people have

A

Muscle tension, teeth clenching, faintness, chills, sweating

78
Q

What are withdraw signs and symptoms of ecstasy

A

Fatigue, depressed feeling, trouble concentrating

79
Q

What are adverse effects of ecstasy

A

Clouded thinking, hyperthermia, disturbed behavior, and jaw clenching

80
Q

What are signs of inhalants intoxication

A

Euphoric state, similar to alcohol, mind altering, slurred speech, lack of coordination, dizziness, hallucinations, delusions

81
Q

Signs of inhalant toxicity

A

Overdose, sudden death because of anoxia to brain and/or respiratory depression

82
Q

What can happen to people who chronically use inhalants but don’t overdose

A

Toxic to kidney and liver

83
Q

Nursing care of people who use inhalants

A

Safety, decreased stimulation, monitor respiratory status

84
Q

What is the leading cause of preventable death

A

Use of nicotine

85
Q

What is nicotine

A

A stimulant and depressant

86
Q

What does nicotine do to the body?

A

Stimulants adrenal gland to release epinephrine; epinephrine increases BP, heart rate, and respiratory rate; epinephrine also suppresses release of insulin so someone that has chronic nicotine intake could possibly have higher blood sugars

87
Q

What are people who use nicotine at a increased risk for?

A

Emphysema, lung cancer, heart attack, stroke

88
Q

What happens to chronic men who use anabolic steroids

A

Shrink testicles, decreased sperm count puts at increased risk for prostate cancer, will do PSA blood test every so often to test for prostate cancer

89
Q

What happens to women who are chronic users of anabolic steroids

A

Male like features, facial hair, male pattern baldness

90
Q

When is Antibuse used?

A

For an alcoholic trying to maintain abstinence

91
Q

What instructions should somebody on Antibuse know

A

Cannot take any intake of alcohol while on, instruct about mouthwash, lotions, perfumes, and cough medicine containing some alcohol, and if a patient stops Antibuse no alcohol for 14 days

92
Q

What will happen if a person on Antibuse drinks alcohol

A

Severe bad headache, N/v, lowered Bp, increased pulse, sob, chest pain, palpitations

93
Q

How long does Antibuse stay in your system after you stop it?

A

14 days so you cannot drink or it will cause then to have the symptoms