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Addictions > E & Opioids > Flashcards

E & Opioids Flashcards

1
Q

Ecstasy is made from…

A

MDMA in illegal labs

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2
Q

Ecstasy works similarly to…

A

Stimulants & Hallucinogens

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3
Q

Ecstasy dose?

A

50-200mg

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4
Q

Onset and duration?

A

60-90m

3-6h

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5
Q

Short term effects of E?

A

Pleasure, wellbeing, confidence

Sociable, open, sensitive

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6
Q

Assess for in E intoxication?

A

PUPILS

HR, BP, R, T UP

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7
Q

Long-term effects of E?

A

Forgetfullness/depression

Sleeping problems, confusion, paranoia

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8
Q

Tolerance for E develops…

A

Quickly

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9
Q

T/F Physical dependence is more common than psychological.

A

FALSE - other wa around

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10
Q

WD symptoms of E?

A

Need/craving

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11
Q

Death by E?

A

Dehydration + Increased BP/HR+ Impaired

Clotting = Bleed out/heart & kidney failure

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12
Q

Opioids are used to treat 4 things.

A

Pain
Diarrhea
Cough
Addxn to other opiates

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13
Q

Opioids may originate 3 ways.

A

Naturally occurring
Semi-synthetic
Synthetic

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14
Q

Naturally occurring opioids?

A

Codeine

Morhpine

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15
Q

Semi-synthetic opioids?

A

Heroin

Oxycodone

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16
Q

Synthetic opioids?

A

Methadone

Meperidine

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17
Q

Opioids may act 3 ways..

A

Long-acting
Short-acting
Continuous release

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18
Q

Short term effects include? PPN

A

Physical pain relief
Perception of pain relieved
Nausea

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19
Q

In addition, short term effects may include (3phys, 3 psych)

Cls red

A

Constipe
Loss of Appetite
Sweating

Euphoria
Relaxation/Sedation
Difficulty Concentrating

20
Q

Long term effects of opioids include (3phys 2psych) scads

A

Sexual dysfunction
Constipe - for serious
Amn/dysmenhorrhea

Depression
Sleep probs

21
Q

Extended use of opioids can cause 2 major changes in brain.

A

Inability to make natural opioids

Changes to neural system that regulates mood

22
Q

This is an opiate antagonist & can save a person from overdose.

A

NARCAN

23
Q

After NARCAN is administered?

A

Monitor for 24h as receptors can refill with opiate

24
Q

Toxic effects include (2)

A

Changing ER to Rapid action may cause OD/Death

Mixed with depressants = resp depression

25
Q

Withdrawal from opiates is a real bitch, including:

A

Muscle & bone pain
Piloerection
Hot/cold flashes
Pupil dilation, insomnia NVD

26
Q

Low potency opiates?

A

Codeine
Talwin
Percocets

27
Q

Potent Opioids (rx-4)

A

Oxy
Dilaudid
MSContin
Fentanyl

28
Q

Potent street opioids (2)

A

Street methadone

Heroin

29
Q

Tylenol 1’s other use?

A

Backup when out of potent opioids! Cold water extraction for codeine

30
Q

Taking 50-100 tabs of t1=

A

Acute liver dysfnxn

31
Q

After 5-15 years on this pt’s see increasing dysfunction

A

Codeine

32
Q

When we see people addicted to codeine they’re also using:

A

T1’s
T3’s
Alcohol & benzos

33
Q

This drug has surpassed marijuana as teenager’s experimental drug

A

Oxycodone (chew, swallow, snort)

34
Q

Oxycodone is the gateway to…

A

Oxycontin

35
Q

T/F 5mg oxycodone is easy to get

A

TRUE

Tattoos, sports, easy to score

36
Q

Injection use is most common with these 2

A

Dilaudid

Morphine

37
Q

Smoked or injected, often followed by an ‘oxycontin wave’

A

Heroin

38
Q

These are often cut up into chiclets and chewed, or cooked and used IV

A

Fentanyl Patches

39
Q

Fentanyl is unpredictable in that…….which leads to higher risk of…

A

Don’t know how much you’re taking

Risk of overdose

40
Q

This is usually bought to balance WD symptoms

A

Street Methadone

41
Q

This is meant to be long acting until it’s chewed, snorted or injected. Reputation as a fun party drug.

A

Oxycontin

42
Q

T/F People who are opiate naïve can easily OD on street methadone.

A

TRUE

43
Q

T/F Opioids have a higher death rate

A

TRUE

44
Q

It is easy to achieve prolonged abstinence from opioids. T/F?

A

FAlSE

45
Q

Specific treatments for opioids?

A

Methadone

Suboxone

Addictions (8 decks)

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