E & Opioids Flashcards
Ecstasy is made from…
MDMA in illegal labs
Ecstasy works similarly to…
Stimulants & Hallucinogens
Ecstasy dose?
50-200mg
Onset and duration?
60-90m
3-6h
Short term effects of E?
Pleasure, wellbeing, confidence
Sociable, open, sensitive
Assess for in E intoxication?
PUPILS
HR, BP, R, T UP
Long-term effects of E?
Forgetfullness/depression
Sleeping problems, confusion, paranoia
Tolerance for E develops…
Quickly
T/F Physical dependence is more common than psychological.
FALSE - other wa around
WD symptoms of E?
Need/craving
Death by E?
Dehydration + Increased BP/HR+ Impaired
Clotting = Bleed out/heart & kidney failure
Opioids are used to treat 4 things.
Pain
Diarrhea
Cough
Addxn to other opiates
Opioids may originate 3 ways.
Naturally occurring
Semi-synthetic
Synthetic
Naturally occurring opioids?
Codeine
Morhpine
Semi-synthetic opioids?
Heroin
Oxycodone
Synthetic opioids?
Methadone
Meperidine
Opioids may act 3 ways..
Long-acting
Short-acting
Continuous release
Short term effects include? PPN
Physical pain relief
Perception of pain relieved
Nausea
In addition, short term effects may include (3phys, 3 psych)
Cls red
Constipe
Loss of Appetite
Sweating
Euphoria
Relaxation/Sedation
Difficulty Concentrating
Long term effects of opioids include (3phys 2psych) scads
Sexual dysfunction
Constipe - for serious
Amn/dysmenhorrhea
Depression
Sleep probs
Extended use of opioids can cause 2 major changes in brain.
Inability to make natural opioids
Changes to neural system that regulates mood
This is an opiate antagonist & can save a person from overdose.
NARCAN
After NARCAN is administered?
Monitor for 24h as receptors can refill with opiate
Toxic effects include (2)
Changing ER to Rapid action may cause OD/Death
Mixed with depressants = resp depression
Withdrawal from opiates is a real bitch, including:
Muscle & bone pain
Piloerection
Hot/cold flashes
Pupil dilation, insomnia NVD
Low potency opiates?
Codeine
Talwin
Percocets
Potent Opioids (rx-4)
Oxy
Dilaudid
MSContin
Fentanyl
Potent street opioids (2)
Street methadone
Heroin
Tylenol 1’s other use?
Backup when out of potent opioids! Cold water extraction for codeine
Taking 50-100 tabs of t1=
Acute liver dysfnxn
After 5-15 years on this pt’s see increasing dysfunction
Codeine
When we see people addicted to codeine they’re also using:
T1’s
T3’s
Alcohol & benzos
This drug has surpassed marijuana as teenager’s experimental drug
Oxycodone (chew, swallow, snort)
Oxycodone is the gateway to…
Oxycontin
T/F 5mg oxycodone is easy to get
TRUE
Tattoos, sports, easy to score
Injection use is most common with these 2
Dilaudid
Morphine
Smoked or injected, often followed by an ‘oxycontin wave’
Heroin
These are often cut up into chiclets and chewed, or cooked and used IV
Fentanyl Patches
Fentanyl is unpredictable in that…….which leads to higher risk of…
Don’t know how much you’re taking
Risk of overdose
This is usually bought to balance WD symptoms
Street Methadone
This is meant to be long acting until it’s chewed, snorted or injected. Reputation as a fun party drug.
Oxycontin
T/F People who are opiate naïve can easily OD on street methadone.
TRUE
T/F Opioids have a higher death rate
TRUE
It is easy to achieve prolonged abstinence from opioids. T/F?
FAlSE
Specific treatments for opioids?
Methadone
Suboxone
