Narcotics

Question 1

Where was opium used historically?

Answer 1

Egyptians and Greeks to get babies to stop crying

Used in Arabia because alcohol forbidden by Koran

Question 2

What caused the opium war?

Answer 2

china’s ban on tobacco

Britain smuggled it in

Question 3

What was Heroin first marketed as?

Answer 3

cough suppressant by Bayer

Question 4

What are opioids used for?

Answer 4

• pain control (better for dull than sharp pain)
• sedation
• reduces emotional response to pain
• sometimes diarrhea
• suppress cough

Question 5

What is the analgesic standard to which all other analgesics are compared?

Answer 5

morphine

Question 6

Synthetic opioids

Answer 6

fentanyl

more potent

Question 7

Price of heroin

Answer 7

$200/gram

Question 8

Heroin use % among young

Answer 8

stayed relatively stable 2009-2014

Question 9

Chasing the dragon

Answer 9

inhalation of heroin (or sometimes crack)

Question 10

speedballing

Answer 10

combining heroin and cocaine (sometimes amphetamine)

Question 11

Cheese

Answer 11

low dose heroin combined with a caused diphenhydramine/acetaminophen combination product such as Tylenol PM or with Xanax then snorted

• low cost, popular in school
• deaths reported

Question 12

what is the most common parenteral opioid used?

Answer 12

morphine

Question 13

Mepheridine

Answer 13

used primarily parenterally
can cause seizures
misused by nurses
minimally effect of pupils

Question 14

Fentanyl

Answer 14

• anesthesia
• injectable most misused
• buccal tablets
• lozenges
• patches

Question 15

Methadone

Answer 15

• long duration opioid

Question 16

Codeine

Answer 16

• used mainly orally for pain or cough
• reduced by significant GI upset and low potency
• purple drank

Question 17

Oxycodone

Answer 17

• many Rx drug addicts
• chronic pain management
• crush tablet and snort

Question 18

Tolerance and opiates

Answer 18

• tolerance occurs, some may be learned

- physical and psychological dependence results from prolonged opioid use

Question 19

OUDs

Answer 19

• obtain high
• cross dependency can occur
• can be habituated to ritual of needle use than to opioid itself
• death usually from respiratory arrest
• not associated with organ damage

Question 20

adverse effects of opioids

Answer 20

• nausea and vomiting
• pupil constriction
• drowsiness
• inability to urinate
• mental clouding

Question 21

Withdrawal from opioids

Answer 21

• nausea and discomfort
• never fatal
• resembles flu

Question 22

What can help with withdrawal from opioids

Answer 22

• clonidine to help with diarrhea and vomiting

- does not help with craving or aches

Question 23

Opioids and neonates

Answer 23

• can cross placenta
• can experience withdrawal after birth
• irritability
• poor feeding

Question 24

How long can opiates be detected in urine?

Answer 24

2-5 days after use

Question 25

What do poppy seed contain?

Answer 25

morphine and codeine