OUD-Naloxone Flashcards

1
Q

What does mu receptor do?

A

ANALGESIA, euphoria, dependence, resp depression, gi issues

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2
Q

What does delta receptor do?

A

analgesia, euphoria, dependence

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3
Q

What does kappa receptor do?

A

not dependence

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4
Q

Some people that take opioids legitametly sometimes qualify for the disorder. DO they actually have it?

A

NO

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5
Q

How long is OUD treated for?

A

LONG TERM CHRONIC THERAPY

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6
Q

What are the 3 stages of addiction?

A

Binge/intoxication= consumes and gets pleasure
Withdrawal/negative affect= negative state in absence of substance
Preoccupation/anticipation= seeks drug

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7
Q

What happens to the cycle over time?

A

intensifies and greater harm

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8
Q

What part of brain handles reward?

A

mesolimbic in VTA area releases dopamine

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9
Q

What part of brain handles drive to get substance?

A

prefrontal to VTA= get tolerance and need more

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10
Q

How does drowsy and resp depression occur?

A

mu in LC= suppressed NoreE

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11
Q

MOA of naloxone

A

displaces opioid (antagonist)

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12
Q

How quick does naloxone fix breathing issues?

A

2-5 min

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13
Q

Issue of naloxone

A

can cause withdrawal/ overdose can return after 30-90 min

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14
Q

sx of opioid withdrawal?

A

vomit, urine, cramp, cramps, kicking legs, sweat

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15
Q

Is opioid withdrawal life threatening?

A

NO

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16
Q

How can we help with withdrawal?

A

NSAID for pain
laxative/loperimide for bowel
Dimenhydrinate fior nausea
Hydroxizine for anxiety/insomnia
clonidine for physical withdrawal
oxybutinin for sweating

17
Q

Signs of opioid overdose

A

drowsy
blue lips/nails
small pupils
clammy
confused
choking
low breathing

18
Q

What form of opioids is higher risk of OD?

A

INject

19
Q

What do you do if you come across overdosing on opioid?

A

Try to wake them
call 911
recovery position
open airway
ventilate
evaluate
naloxone