Substance Related and Addictive Disorders (Opioid Abuse) Flashcards
Opioid Abuse can start in one of two ways. What are they ?
- ) A prescription from a PHP that is intended to treat a legitimate problem
- ) Recreational use from a local dealer
What are the most common Opiates ?
- Heroin
- Oxycodone
- Meperidine
(Heroin is at Epidemic proportions b/c it is cheap and available)
What are signs and symptoms of Opioid Addiction ?
- Client needs more drugs and more often b/c of built-up tolerance
- Drug seeking is no longer an option. It is Survival
The signs and symptoms of Opiate Intoxication present as a Triad. What are they ?
- Pinpoint pupils
- Respiratory depression
- Coma
What is the Emergency Treatment for Opioid Abuse (intoxication ? pg. 120) ?
- Administer naloxone (Narcan)
- May be given IV, IM, SubQ, or intra-nasally
- Initial dose of 0.4 -2.0mgs may be given
- If respirations don’t improve, can be repeated at 2-3 minute intervals
How may naloxone be given ?
IV
IM
SubQ
Intra-nasally
What is Naloxone (narcan) ?
Is an Opiate antagonist that dramatically reverses the signs of overdose
How often can Naloxone be repeated if respirations don’t improve ?
Can be repeated at 2-3 minute intervals
True or False:
A client must be admitted after Naloxone is administered ?
True!
All clients given Naloxone in the field must go where ?
To the hospital
Naloxone is Short acting and therefore must be administered when ?
Every few hours until the opiate levels are non-toxic
failing to continue the naloxone dosage can lead to death
Intra-Nasal Nalaxone is common in what types of places ?
- Emergency kits
- Primary Healthcare clinics
- AED’s
Opioid withdrawal can occur when ?
Within hours to days of stopping the drug
Dependent on specific drug
heroin users may have symptoms of Opioid withdrawal when ?
In 6-8 hours after use is stopped
Users of ___________ experience withdrawal symptoms earlier than heroin users ?
Meperidine
