LD #12 Controlled Substances Flashcards by N R

Stimulants

1) Describe
2) Effects
3) examples

1) drugs that increase activity and promote a sense of well- being
2) impairment by overstimulating the brain, accelerating the heart rate and respiration, and elevating blood pressure
3) cocaine amphetamines methamphe- tamines

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Hallucinogens

1) describe
2) effects
3) examples

1) drugs that induce intense emotional feelings characterized by a magnification of sensory and auditory perceptions and possible visual hallucinations at relatively low doses
2) impairs the user’s ability to perceive reality and often produces a dazed appearance and increase body temperature
3) LSD, MDMA (Ecstasy), peyote (mescaline), psilocybin salivia divinorum

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Narcotic Analgesics

1) describe
2) effects
3) examples

1) a category of drugs called narcotic analgesics which can be synthetic or natural
2) used to relieve pain and effect a comparatively weak general CNS depression (sedation) & very addictive; can produce withdrawal symptoms when stopped after chronic administration
3) opiates: - Demerol - Methadone - Darvon, opioids: - morphine - codeine - heroin, Vicodin, Percodan

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Possession of a Controlled Substance

Actual control or constructive possession of a usable amount

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Possession < 28.5 g marijuana

Infraction

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Possession > 28.5 g marijuana

Misdo

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Possession hash/hashish oil

Felony

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Possession of meth, PCP, lSD

Felony

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Possession of Controlled Substance for Sale

(1) actual control (2) specific intent to sell (3) any amount available for sale (Felony)

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Cannabis

1) describe
2) effects
3) examples

1) dried leaves/buds of marijuana plant
2) impairment of attention, change in appetite, floating sensation
3) marijuana, hashish oil

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Transporting/Selling/Furnishing Controlled Substance

(1) actual control (2) specific intent to transport, sell, furnish, offer (3) any amount (Felony)

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Depressants

1) describe
2) effects
3) examples

1) named for the most prominent property of dampening CNS activity while carrying relatively weak analgesic effects.
2) slows operation of brain and CNS
3) tranquilizers, barbiturates, GHB, anti-anxiety, alcohol

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Inhalants

1) describe
2) effects
3) examples

1) substances inhaled thru lungs
2) disorientation and slurred speech, feelings of excitement and confusion
3) solvents, aerosols, nitrates, anesthetics

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Dissociative Anasthetics

1) describe
2) effects
3) examples

1) synthetic drug
2) changes in perception, hallucinations, can act as stimulant, depressant, or hallucinogen
3) PCP, Ketamine

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MDMA

1) describe
2) effects
3) examples

1) Pills, powder, smoked, injected, suppository
2) euphoria, rapid pulse, rise in body temp, teeth grinding, panic attacks
3) Packed as candies or in baggies

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GHB

1) describe
2) effects
3) examples

1) inhaled, injected, swallowed
2) euphoria, anxiety, memory loss, coma, death, loss of inhibition
3) packaged in water bottles, film canisters, baggies

Rohypnol

1) describe
2) effects
3) examples

1) Swallowed, inhaled, injected, smoked
2) euphoria, tunnel vision, floating sensation
3) wrapped in bubble pack

Ketamine

1) describe
2) effects
3) examples

1) swallowed, injected, inhaled, smoked
2) euphoria, tunnel vision, floating sensation, seizures, coma
3) liquid, powder, capsule

Stimulant signs and symptoms

Horizontal Gaze Nystagmus (HGM)
not present
Vertical Gaze Nystagmus (VGM)
not present
Lack of Convergence
not present
Pupil Reaction
slowed
Pupil Size
dilated (may be constricted with chronic use)
Pulse Rate
elevated
Romberg Test
fast

Stimulant indicators of use

paranoia
increased alertness
insomnia or restlessness
body tremors (including eyelids)
increased respiration
loss of appetite
rapid speech
agitation
dry mouth
euphoria
sweating
grinding teeth
residue or redness in nasal septum/under nose (if snorted) bloody or running nose (if snorted)
blackened gums, (if smoked)
burned fingers and lips (if smoked)
a hacking cough (if smoked)

Hallucinogen signs and symptoms

Horizontal Gaze Nystagmus (HGM)
generally not present
Vertical Gaze Nystagmus (VGM)
not present
Lack of Convergence
not present
Pupil Reaction
normal
Pupil Size
dilated
Pulse Rate
elevated
Romberg Test
fast

Hallucinogen indicators of use

hallucinations (intensified visual images and/or illusions)
• irrational, bizarre behavior and/or paranoia
• insomnia
• loss of appetite
• dazed appearance
• impaired memory
• body tremors
• excessive sweating • increased respiration • restlessness
• possible flashbacks (with LSD) • grinding of teeth (bruxism)

Narcotic Analgesic signs and symptons

Horizontal Gaze Nystagmus (HGM)
not present
Vertical Gaze Nystagmus (VGM)
not present
Lack of Convergence
not present
Pupil Reaction
little or no visible reaction
Pupil Size
constricted below 3.0 mm
Pulse Rate
below normal
Romberg Test
slow

Narcotic Analgesic indicators of use

droopy eyelids (eyelids to top of pupils)
• nodding off or drowsiness
• slow breathing
• slow deliberate speech or low raspy voice
• injection sites/puncture wounds
• profuse itching/scratching
• dry skin and mouth
• muscle tone relaxation
• euphoria
• cold extremities

Cannabis signs and symptoms

``` Horizonal Gaze Nystagmus (HGM) not present Vertical Gaze Nystagmus (VGM) not present Lack of Convergence present Pupil Reaction normal with rebound dilation Pupil Size dilated or may be normal Pulse Rate elevated Romberg Test distorted ```

Cannabis indicators of use

``` bloodshot or reddening of the eyes • eyelid and body tremors • debris residue in mouth • dry mouth • loss of sense of time and space • diminished inhibitions • difficulty in concentrating or disorientation • increased appetite • odor of burnt marijuana • green or yellow coating on tongue ```

Depressants signs and symptoms

``` Horizontal Gaze Nystagmus (HGM) present Vertical Gaze Nystagmus (VGM) present (only in high doses) Lack of Convergence present Pupil Reaction slowed Pupil Size near normal (possibly dilated with Quaalude and Soma, Alcohol) Pulse rate down (can be less than 60 bpm, but possibly up with Methaqualone, Prozac, or Alcohol) Romberg Test slow ```

Depressants indicators of use

drunken behavior with or without the odor of alcohol • drowsiness • slurred speech • droopy eye lids • decreased inhibitions • impaired coordination or slowed reflexes

Inhalant signs and symptoms

``` Horizontal Gaze Nystagmus (HGM) present Vertical Gaze Nystagmus (VGM) present (in high doses) Lack of Convergence present Pupil Reaction normal to slow Pupil Size near normal Pulse Rate elevated Romberg Test normal or slow ```

Inhalant indicators of use

• • • • • • • • • double vision, slurred speech, and poor coordination headache and nausea sneezing and coughing odor of substance on breath substance around mouth or nose area feeling of intoxication possible unconsciousness hallucinations excess nasal secretions watering eyes

Dissociative Anesthetics (PCP) signs and symptoms

``` Horizontal Gaze Nystagmus (HGM) present Vertical Gaze Nystagmus (VGM) present Lack of Convergence present Pupil Reaction normal Pupil Size normal Pulse Rate elevated Romberg Test distorted ```

Dissociative Anesthetics (PCP) indicators of use

disorientation, sensory distortions and paranoia • loss of memory or loss of a sense of personal identity • noncommunicative or slow, slurred, repetitive, and/or fragmented speech • blank or catatonic stare • hallucinations • chemical odor on person • feeling of extreme heat or profuse perspiration • high tolerance to pain • cyclic behavior • convulsions • muscle rigidity or an unusual gait

Possession of Drug Paraphernalia

HS 11364 | Possessing a device for injecting or smoking a controlled substance other than marijuana (Misdo)

Being Under the Influence of a Controlled Substance

``` HS 11550 (1) knowledge of its presence (2) control or willfully takes into his or her body a controlled substance (3) specific intent to inhale, inject, ingest, etc., a controlled substance (Misdo) ```