Substance Misuse Flashcards

1
Q

Name 8 commonly misused opioids

A

Heroin
Codeine phosphate
Hydrocodone
Hydromorphone
Meperidine HCL
Morphine
Fentanyl
Oxycodone

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2
Q

Name 4 commonly misused stimulants

A

Racemic amphetamine
Dextroamphetamine
Methamphetamine
Cocaine

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3
Q

Name 3 commonly misused depressants

A

Benzodiazepines
Barbiturates
Marijuana

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4
Q

What is methadone?

A

Used to treat opioid dependence.
The goal is to reduce the pts dosage gradually.

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5
Q

Heroin is part of the ______ most misused drugs in Canada

A

10

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6
Q

What is the peak period and duration of opioid drug withdrawal?

A

P: 1 - 3 days
D: 5 - 7 days

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7
Q

What are the signs and symptoms of opioid drug withdrawal ?

A

Signs: Drug seeking, mydriasis, diaphoresis, rhinorrhea, lacrimation, vomiting, diarrhea, insomnia, elevated BP and pulse
Symptoms: Intense desire for drug, muscle cramps, arthralgia, anxiety, nausea and malaise

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8
Q

What do stimulants do

A

Elevate the mood
Reduce fatigue
Increasing alertness
Invigorated aggressiveness

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9
Q

What is the peak period and duration of short acting CNS depressants?

A

P: 2 to 4 days
D: 4 to 7 days

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10
Q

What is the peak period and duration of long acting CNS depressants?

A

P: 4 to 7 days
D: 7 to 12 days

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11
Q

What is the treatment for withdrawal regarding CNS depressants?

A

Treatment involves tapering of the drug over the course of 7 to 10 days or 10 to 14 days

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12
Q

How does alcohol cause CNS depression?

A

Dissolving lipid membranes in the CNS

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13
Q

What is a systemic use of ethanol (alcohol)?

A

Treatment of methyl alcohol and ethylene glycol intoxication (e.g., from drinking automotive antifreeze solution)

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14
Q

What are the effects of chronic ethanol ingestion?

A

Nutritional and vitamin deficiencies ( B vitamins)
Seizures
Alcoholic hepatitis
Cardiomyopathy

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15
Q

What are the characteristics of FASD (Fetal Alcohol Spectrum Disorder)?

A

Craniofacial abnormalities
CNS dysfunction
Prenatal and postnatal growth retardation

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16
Q

What are the signs and symptoms of ethanol withdrawal?

A

Elevated BP, pulse rate, and temperature
Insomnia
Tremors
Agitation

17
Q

What is the treatment of choice for ethanol withdrawal?

A

Benzodiazepines

18
Q

What are the drug effects of nicotine?

A

CNS and respiratory stimulation followed by CNS depression
Increased HR and BP
Increased bowel activity

19
Q

What are the signs and symptoms of nicotine withdrawal?

A

Manifested by cigarette cravings
Irritability, restlessness, decreased HR and BP
Symptoms resolve in 3 to 4 weeks

20
Q

What are treatments for nicotine withdrawal?

A

Treatments provide nicotine without carcinogens
Nicotine transdermal patch
Nicotine gum
Inhalers
Nasal sprays

21
Q

How does varenicline tartrate treat nicotine withdrawal?

A

It stimulates nicotine receptors

22
Q

What are the most dangerous substances in terms of withdrawal?

A

CNS depressants such as barbiturates, benzodiazepines, and alcohol