Pain medications and drug abuse

Question 1

What are the major actions of NSAIDS?

Answer 1

Anti-inflammatory
Antipyretic
Anti Platelet
Anti tumour

Question 2

What are the side effects of NSAIDS?

Answer 2

Worsening asthma, bone marrow toxicity, vomiting, nausea, diarrhoea, haemorrhage, hypersensitivity, liver damage, headaches, dizziness, stroke, cardiac disease, and ulcers.

Question 3

Side effects of opioids? Eg morphine.

Answer 3

Increased tolerance, increase the dose to feel effects, dependence, bradycardia, hypotension, constipation, delayed gastro emptying, itching, crosses placenta barrier, nausea, vomiting, coughing, respiratory depression, hypersensitive, anaphylaxis sedation, coma, death

Question 4

Consquences of alcohol?

Answer 4

Linked to 60 diseases. May cause intoxication, psychiatric and social problems, addiction, anxiety, insomnia, GIT upset, headache, hallucinations, seizures, delirium, agitation, hypertension, tachycardia, electrolyte imbalance, stroke, TB, cancer, malnutrition.
If a mother drinks during pregnancy, child may have fetal alcohol syndrome,
Warnick’s syndrome- affects vitamin B which is vital for brain function.

Question 5

Consequences of smoking?

Answer 5

Cancer, lower life span, vascular disease, stroke, MI, ulcers. 10% cause of lung cancer, 80% cause in COPD deaths.

Question 6

Consequences of cocaine?

Answer 6

1/6 of users become addicted
Psychosis, coma, seizures, stroke, bleeding, tachycardia, MI, hypertension, kidney failure, coagulation issues, addiction, wasting of the nose because of inhalation, insomnia.

Question 7

Consequences of cannabis?

Answer 7

Negative
Chronic bronchitis, impaired cognitive function, low birth weight, psychosis, schizophrenia, MI, CVA, COPD, addiction, cancer.

Positive
Relief from chronic pain, anxiety, chemo inducted nausea and vomiting, MS-related problems, short term sleep, AIDS/HIV wasting and pain, Tourettes.