Opioids-welchel (exam 2)

Question 1

Person-first language

Answer 1

Person “has” a problem, rather than “is” the problem

Don’t use the following words:

Addict
Alcoholic
Former addict
Abuse
Clean
Addicted baby

Question 2

____ americans die every day from opioid abuse

Answer 2

130

Question 3

Opioid government spending:

______ billion US government dollars per year

Answer 3

78.5 billion

Question 4

6th vital sign=

Answer 4

pain

• 21-29% of patients prescribed an opioid will misuse it
• 8-12% will develop an opioid use disorder
• 80% heroin users first misused a opioid prescription

Question 5

ANYONE CAN BECOME ADDICTED

Answer 5

Brain Chemistry

Psychological factors: Stress, impulsivity, sensation seeking, depression, anxiety, eating disorders, personality disorders, other psychiatric disorders

Environmental factors (exposure to abuse or trauma, family or peer addiction, substance access, cultural)

Nicotine, drugs or alcohol at an early age

Question 6

Heroin=

Answer 6

junk, smack, chiba, tar, brown sugar, chiva, white horse, skag, dragon, white, horse

Question 7

Oxycodone=

Answer 7

(tylox, oxycontin, Percocet, Percodan)- percs, kickers, blue, oxy, killer, hillbilly heroin, oxycottons

Question 8

Oxymophone=

Answer 8

Blue heroin, o bomb, octagon, stop sign, biscuits, blues

Question 9

Hydrocodone=

Answer 9

(Lortab, Vicodin, norco, vicoprofen): Norco, vikes, hydro, Watson 387

Question 10

Dilaudid=

Answer 10

Juice, smack, D, Dillies, Footballs, Dust

Question 11

Codeine=

Answer 11

Cody, captain cody, school boy, Doors & floors, loads, syrup, tuss

Question 12

Fentanyl=

Answer 12

China white, china girl, apache, good fella, murder & tango, dance, fever

Question 13

opium=

Answer 13

Aunt, Aunti Emma, O, Big O, Mira, Gee, Zero, skee, Chinese tobacco

Question 14

DMT=

Answer 14

dimethyltryptamine (structurally related to LSD), businessman’s trip, Dimitri, The Spirit Molecule

Question 15

NIDA=

Answer 15

=Quick Screen (=a substance abuse assessment tool)

Step 1: Questions about the past year- drinking (men greater than 5/day, women greater than 4/day), tobacco, prescription drugs for non-medical reasons, illegal drugs.- *No to all the screening is done.

Step 2: NIDA-Modified ASSIST (Assess, Advise, Assist, and Arrange)- Lifetime drug use

Step 3: Determine Risk Level

Step 4: Advise, Assess, Assist and Arrange

Question 16

Physical findings that Suggest Alcohol and Other Drug Problems

Answer 16

Mild tremor
Odor of alcohol on breath
Enlarged, tender liver
Nasal irritation (suggestive of cocaine insufflation)
Conjunctival irritation (suggestive of exposure to marijuana smoke)
Labile blood pressure, tachycardia (suggestive of alcohol withdrawal)
“Aftershave/mouthwash” syndrome (to mask the odor of alcohol)
Odor of marijuana on clothing
Signs of chronic obstructive pulmonary disease, hepatitis B or C, HIV infection
Skin finding – needle marks, bruising

Question 17

“Common side effects of opioid administration include

Answer 17

sedation,dizziness,nausea,vomiting,constipation, physical dependence, tolerance, andrespiratory depression. Physical dependence andaddictionare clinical concerns that may prevent proper prescribing and in turn inadequatepainmanagement

Question 18

Early Signs of Withdrawal

Answer 18

Tearing up
Muscle aches
Agitation
Trouble falling and staying asleep
Excessive yawning
Anxiety
Nose running
Sweats
Racing heart
HTN

Question 19

Late Signs of Withdrawal

Answer 19

Nausea and vomiting
Diarrhea
Goosebumps
Stomach cramps
Depression
Drug cravings

Question 20

Opiate withdrawal timeline:

Answer 20

last dose

• Sx begin: 6-12 hrs for short acting opiates
• Sx begin: 30 hrs for long acting opiates

Sx peak at 72 hours: N/V, stomach cramps, diarrhea, cravings