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PHM 701- Alcohol, Seizures, Substance Abuse, Schizophrenia, Depression > Substance Abuse- Drugs and Their Effects > Flashcards

Substance Abuse- Drugs and Their Effects Flashcards

1
Q

Benzo effects

A

Decreased BP
Memory impairment
Drowsiness
Confusion
Anterograde amnesia
GI effects
Urinary retention
Slurred speech
Poor coordination
Bloodshot eyes
Respiratory depression

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2
Q

Benzo withdrawal effects

A

Anxiety
Insomnia
Restlessness
Muscle tension
Irritability
Blurred vision
Diaphoresis
Nightmares
Depression
Paranoia
Hallucinations
Seizures
Psychosis

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3
Q

Benzo OD treatment

A

Flumazenil 0.2mg/min, up to 3mg max

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4
Q

Benzo withdrawal treatment

A

Taper dose depending on dose and duration

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5
Q

Barbiturate effects

A

Similar to benzos

Disinhibition
Mood lability
Unsteady gait
Slurred speech
Nystagmus
Amnesia
Poor judgment

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6
Q

Barbiturate withdrawal effects

A

Anxiety
N/V
Postural hypotension
Seizures
Delirium
Insomnia
Hyperpyrexia

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7
Q

Barbiturate OD treatment

A

Supportive care

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8
Q

Barbiturate withdrawal treatment

A

Taper, change to a longer acting barb and taper, sub anticonvulsant

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9
Q

GHB effects

A

Amnesia
Hypotonia
Coma
Seizures
Respiratory depression
Vomiting

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10
Q

GHB withdrawal effects

A

Agitation
Mental status changes
Elevated BP, HR
Tachycardia

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11
Q

GHB OD treatment

A

Supportive care, ventilation, oxygen, intubation, fluids, thiamine

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12
Q

DXM effects

A

Heightened sense of perceptual awareness
Altered time perception
Visual hallucinations
Hyperexcitability
Lethargy
Ataxia
Slurred speech
Sweating
HTN
Nystagmus

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13
Q

DXM abuse effects

A

death, brain damage, seizure, loss of consciousness, irregular heartbeat

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14
Q

Cocaine effects

A

Euphoria, elation, grandiosity
Loquacity
Alertness
Mydriasis
Change in BP, tachycardia
Sweat/chills
N/V
Decreased fatigue
Paranoia
Aggression
Motor agitation

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15
Q

Cocaine toxicity effects

A

cardiac arrest, MI, stroke, arrhythmia, seizures, hyperthermia
Nasal septum ulceration
Kindling- potentiate psychosis, hallucination

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16
Q

Cocaine withdrawal effects

A

Depression
Fatigue
Nightmares
Sleep disturbances
Increased appetite
Bradyarrhythmia
Tremor

17
Q

Cocaine OD treatment

A

Supportive care, lorazepam, haldol, antiarrhythmic agents as needed for cardiac effects

18
Q

Amphetamine effects

A

Decreased fatigue
Alertness, awake
Decreased appetite
Increased activity
Increased respiration
Hyperthermia
Irritability
Insomnia
Confusion
Tremor
Convulsions
Anxiety
Paranoia
Aggression
Stroke, MI arrhythmia
Meth mouth

19
Q

Amphetamine withdrawal effects

A

Fatigue, depression, cognitive impairment

20
Q

Amphetamine OD treatment

A

Supportive care, haldol, lorazepam

21
Q

Ecstasy (MDMA) effects

A

Empathy
Relaxation
Party/rave
Suppress need to eat, sleep, drink
Euphoria
Decreased inhibitions
Anxiety
Paranoia
Irrational
Psychosis
Wanting to touch shit
Muscle tension
Faint
Chills, sweat
Increased HR and BP
Hyperthermia

22
Q

PCP effects

A

Euphoria
Delusion
Hostility
Hallucinations
Emotional lability

23
Q

PCP effects at low doses

A

sedation, ataxia, nystagmus, slurred speech, paresthesia

24
Q

PCP effects at high doses

A

increased BP, HR, temperature, diaphoresis, muscle rigidity, seizure, coma

25
Q

Ketamine effects

A

Increased BP, HR
Hallucinations
Vivid dreams
Delirium
Respiratory depression
Hypertonia
Dystonia
Seizures
Neuropathy
Cardiac arrest
Psychedelic effects

26
Q

LSD effects

A

Mydriasis
Increased temp, HR, BP
Loss of appetite
Sleeplessness
Dry mouth
Tremor
Blurred vision
Dizziness
Weakness
Hallucinations
Sensory crossover
Flashbacks
Perceptual intensification
Depersonalization

27
Q

LSD OD treatment

A

Supportive care, lorazepam, haldol

28
Q

Marijuana effects

A

Bronchioles relax and enlarge, blood vessels dilate
Bloodshot eyes
Pleasant sensations
More intense sensations
Time passes slowly
Euphoria
Hunger
Thirst
Dry mouth
Tachycardia
Fear, distrust, panic
Decreased coordination, balance, decreased memory, reaction time
Amenorrhea
Respiratory complications
Decreased testosterone, spermatogenesis

29
Q

Inhalants effects

A

Nausea, headache, deprive brain of oxygen, arrhythmia, suffocation, brain damage, neuropathies, encephalopathy, impaired pulmonary, renal, hepatic function, decreased BP, loss of coordination, slurred speech

30
Q

Krokodil SQ effects

A

local tissue damage (ulcers, skin necrosis, infection)

31
Q

Krokodil OD effects

A

slow shallow breathing, small pupils, slurred speech, pale face, blue lips/nails, choking/gurgling

32
Q

Bath salt effects

A

Euphoria, energy, alertness

33
Q

Bath salt intoxication effects

A

combativeness, hallucinations, agitation, paranoia, confusion, myoclonus, seizures

34
Q

Bath salts OD effects

A

tachycardia, HTN, agitated delirium, diaphoresis, mydriasis, hyperthermia

35
Q

Bath salt OD treatment

A

IV benzos, fluid resuscitation, sedation

36
Q

Kratom effects at lower doses

A

Alertness, physical activity, talkativeness, social behavior

37
Q

Kratom effects at higher doses

A

Opiate effects at higher doses plus sedation and euphoria (nausea, itching, swearing, dry mouth, constipation, increased urination, loss of appetite)

38
Q

Non-opiate pain management options

A

Local pain relief, APAP, neuropathic pain with TCAs, gabapentin/pregabalin

PHM 701- Alcohol, Seizures, Substance Abuse, Schizophrenia, Depression (23 decks)

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