Drugs of Abuse, MacIntyre

Question 1

mild abuse

Answer 1

2-3 Sx

Question 2

moderate abuse

Answer 2

4-5 Sx

Question 3

severe abuse

Answer 3

6+ Sx

Question 4

other names for methamphetamine

Answer 4

meth, ice, crystal, Tina, T, speed, crank

Question 5

how is meth taken

Answer 5

swallowed, snorted, injected, smoked

Question 6

side effects meth

Answer 6

inc BP, HR, temp
dilated pupils, irregular heart beat, muscle twitching, mood disturbances, weight loss, psychosis, dental problems, teeth grinding, insomnia, violence, extreme agitation

Question 7

meth toxic to what part in brain

Answer 7

dopamine nerve terminals

esp in frontal Cx

Question 8

abuse and overdose of Rx stimulants can cause what Sx

Answer 8

anxiety, inc BP, HR, irritability, psychosis, weight loss, insomnia, CV effects, teeth grinding

Question 9

abuse of Rx stimulants

Answer 9

on rise since 2007 when ADHD Dx

18-25 y.o

Question 10

routes to administer bath salts

Answer 10

PO, inhale IV, vape

Question 11

what happens with bath salts

Answer 11

surge in serotonin, norepi, dopamine

inc risk serotonin syndrome

Question 12

bath salts cause what Sx

Answer 12

chest pains, inc BP, pulse, agitation, hallucinations, suicidality, extreme paranoia, delusions and extreme violence

Question 13

most commonly used drug

Answer 13

marijuana

Question 14

other names for weed

Answer 14

pot, green, 420, reefer, joint, blunt, dope, bud, mary jane

Question 15

Sx of marijuana

Answer 15

euphoria, inc appetite, sense of relaxation

tachycardia, injected conjunctiva, dry mouth, paranoia, distored perceptions, difficulty with memory or complex tasks

Question 16

what are the synthetic cannabinoids

Answer 16

spice, K2, fake week

Question 17

how is synthetic weed taken

Answer 17

smoked or used as herbal infusion in drink

Question 18

Sx synthetic week

Answer 18

anxiety and or psychosis

inc HR, BP vomiting, pulmonary irritation

Question 19

names for cocaine

Answer 19

blow
snow
coke
“crack” when in powder

Question 20

what is speedball

Answer 20

cocaine and heroin mixture

Question 21

Sx of cocaine use

Answer 21

psychomotor agitaiton, dilated pupils
inc BP HR energy speech, euphoria, sinus problems, chest pain, risk of HIV or hepatitis transmission: MI through vasoconstriction

Question 22

molecular level effects of cocaine

Answer 22

surge of dopamine release then depletion causing depression accompanied by hyperinsomnia

Question 23

Psilocybin

Answer 23

magic mushrooms, shrooms, shroomies

Question 24

how are shrooms taken

Answer 24

swallowed or used in tea

Question 25

effects of shrooms

Answer 25

distoreted perceptions, dilate pupils, hallucinations, cholinergic excess, inc BP HR Temp, anxiety, nausea

Question 26

LSD

Answer 26

tablets capsules, liquid or absorbent paper | 8-12 hrs

Question 27

effects of LSD

Answer 27

vivid hallucinations and distorts reality | can cause inc BP HR temp and insomnia

Question 28

other names for ecstasy

Answer 28

MDMA, X, XTC, love drug, Molly, Adam, rave drug

Question 29

how is X taken

Answer 29

orally | inc serotonin release, inc risk serotonin syndrome

Question 30

effects of X

Answer 30

intense mental stimulation, emotional warmth, energy, disrupt temp homeostasis, nausea, chills, muscle cramps, teeth clenching, inc HR BP, pupillary dilation

Question 31

neurotoxic effect X

Answer 31

destruction serotonergic neurons | lead to long term depression

Question 32

what inhalants are abused

Answer 32

whippets, snappers products of glue etc huffing bagging or direct inhalation

Question 33

effects of inhalants

Answer 33

rapid high, resemble EtOH intoxication | inhaling greater quantities can result in feelings of sensation loss and or consciousness

Question 34

risks with inhalants

Answer 34

kidney failure, suffocation, hearing loss, limb spasms, bone marrow damage, organ damage or death can cause severe CNS damage, demyelination, atrophy and degeneration

Question 35

other names for PCP

Answer 35

angel dust, wet, embalming fluid, sherms, ozone, wack | "Sernyl"

Question 36

how is PCP taken

Answer 36

smoked, swallowed snorted

Question 37

effects PCP

Answer 37

mimics schizophrenia like psychosis (NMDA antagonist) dissociation and detachment, inc BP/HR, nystagmus, sensation of heat, unusual strength, anesthetic efx, volatility and unpredictability,

Question 38

names for ketamine

Answer 38

special K, vit K, jet, cat tranquilizer

Question 39

how is ketamine taken

Answer 39

snorted ingested, IM

Question 40

Sx of ketamine

Answer 40

inc dreams, ataxia, dec sensations, emotional warmth, epiphanies, hallucinations, near death experiences, blackouts

Question 41

other names for benzos

Answer 41

bennies, xannies, anxiety pills

Question 42

abuse of benzos causes

Answer 42

sedation, lethargy, memory problems ,ataxia, slurred speech

Question 43

chronic benzo use leads to

Answer 43

upregulation NMDA R downregulation GABA R CNS hyperactivity in withdrawal risk of seixure

Question 44

what drug can precipitate severe withdrawal of benzos

Answer 44

flumazenil

Question 45

other names for barbituates

Answer 45

barbs, barbies, downers, nembies, seccies

Question 46

what happens in barbituate withdrawal

Answer 46

seizure and withdrawal Sx

Question 47

robo tripping

Answer 47

dextromethorphan DXM | dangerous with serotonin agents or anticholinergics

Question 48

what are morning glory seeds

Answer 48

mescaline

Question 49

what drugs dec seizure threshold

Answer 49

antipsychotics

Question 50

do you give benzo to alcoholic

Answer 50

no