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NSER 7210 - Theory > Module 6 - Substance Misuse > Flashcards

Module 6 - Substance Misuse Flashcards

1
Q

What drugs are associated with respiratory depression?

A

Heroin
Fentanyl

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2
Q

What drug is associated with facial burns and lacerations?

A

Crystal Meth
(when the pipe shatters)

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3
Q

What is another adverse event that can happen from smoking crystal meth?

A

Pulmonary emboli from inhaled RB (inhaling bits of Brillo pad)

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4
Q

What drug can present with chest pain or could be having an MI from overuse?

A

Crack / Cocaine

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5
Q

What are the three gateway drugs for youth?

A
  1. ETOH
  2. Smoking
  3. Marijuana
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6
Q

What are common assessment findings for the Opioid Toxidrome?

A
  • Constriction of pupils
  • Low RR
  • Apnea
  • Hypothermia
  • Decreased HR
  • Decreased BP
  • Pulmonary Edema
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7
Q

What are common assessment finding for the Anticholinergic Toxidrome?

A
  • Dilation of pupils
  • Hyperthermia
  • Increased RR, HR, BP
  • Dry, flushed skin
  • Dry mucus membranes
  • Urinary retention
  • Involuntary movements
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8
Q

What are some common assessment finding for the Sympathomimetic Toxidrome?

A
  • Hyperthermia
  • Increased RR, HR, BP
  • Widened pulse pressure
  • Pupil dilation
  • Diaphoresis
  • Tremors
  • Hyperreflexia
  • Seizures
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9
Q

What are some common assessment findings for the Hallucinogenic Toxidrome?

A
  • Pupil dilation
  • Hyperthermia
  • Increased RR, HR, BP
  • Nystagmus
  • Mood swings
  • Lack of rational thought
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10
Q

What are some common assessment findings for the Cholinergic Toxidrome?

A
  • Pupil Constriction
  • Low HR
  • Low or High RR / BP
  • Salivation
  • Urinary incontinence
  • Diarrhea
  • Emesis
  • Diaphoresis
  • Bronchoconstriction
  • Muscle Fasciculations
  • Weakness
  • Seizures
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11
Q

What are some common assessment findings for the Hypnotics Toxidrome?

A
  • Hypothermia
  • Low RR, HR, and BP
  • Apnea
  • Hyporeflexia
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12
Q

What are the drugs associated with the opioid toxidrome?

A
  • Heroin
  • Fentanyl
  • Morphine
  • Methadone
  • Oxycodone
  • Hydromorphone
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13
Q

What are the drugs associated with the anticholinergic toxidrome?

A
  • Antihistamines
  • TCAs
  • Atropine
  • Cyclobenzaprine
  • Antiparkinson
  • Midazolam
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14
Q

What are the drugs associated with the sympathemimetic toxidrome?

A
  • Cocaine
  • Crack cocaine
  • Amphetamines
  • Pseudoephedrine
  • Caffine
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15
Q

What are the drugs associated with the hallucinogenic toxidrom?

A
  • PCP
  • LSD
  • Ketamine
  • MDMA (Ecstasy)
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16
Q

What are the drugs associated with the cholinergic toxidrome?

A
  • Organophosphates
  • Insecticides
  • Nerve agents
  • Nicotine
  • Eye medication
17
Q

What are the drugs associated with hyponotics?

A
  • Benzodiazepines
  • Barbiturates
18
Q

What is 80-100x more potent than morphine?

A

Fentanyl

19
Q

What is 100x stronger than Fentanyl?

A

Carfentanil

20
Q

True or False:
An adverse effect of a fentanyl overdose is chest wall rigidity

A

True

21
Q

What are common drugs of the “party scene”?

A
  • GHB
  • Ketamine
  • Rhohypnol
22
Q

What are signs and symptoms of a GHB overdose?

A
  • Slow RR
  • Slow HR
  • Pale, cool skin
  • Vomiting
23
Q

What drug has no known medication that can help reverse it?

A

Esctasy (MDMA)

24
Q

What is the saying for a TCA overdose?

A
  • Hot as a hare (hyperthermia)
  • Dry as a bone (dry skin)
  • Blind as a bat (dilated pupils)
  • Red as a beet (flushed skin)
  • Mad as a hatter (hallucinations)
25
Q

What is the new age “gateway” drug?

A

Prescription Opioids

26
Q

What does AEIOUTIPS stand for?

A

A = Acidosis, Alcohol
E = Epilepsy, Encephalitis
I = Insulin reaction
O = Overdose
U = Uremia, Underdose
T = Trauma. Tumor
I = Infection
P = Psychosis
S = Stroke

27
Q

What are some strategies for building resiliency?

A
  1. Support network
  2. Debrief
  3. Decompression (yoga, walk, meditate, journal)
  4. Practice mindfulness
  5. Reduce trauma inputs (less traumatic tv shows)
  6. Advocate for change in workload
28
Q
A

NSER 7210 - Theory (6 decks)

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