SUD 2 Flashcards

1
Q

Increase GABA, depress CNS

Barbiturates
Opioids

A

Barbiturates

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2
Q

Treats
seizures
sedatives
insomnia
pain management/headache

Barbiturates
Opioids

A

Barbiturates

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3
Q

Medications

Phenobarbital (Solfoton)
Butalbital (Fioricet)
Amobarbital (Tuinal)

Barbiturates
Opioids

A

Barbiturates

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4
Q

Barbiturates
Withdrawal symptoms ? hour after last dose

A

8-12

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5
Q

Gradual reduction of medication

Barbiturates
Opioids

A

Barbiturates

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6
Q

Minor – N/V, tremor, muscle twitching, anxiety, orthostatic hypotension, dizziness, progressive weakness, insomnia, visual perception
disturbances

Barbiturates
Opioids

A

Barbiturates

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7
Q

Life threatening – delirium, convulsions

Barbiturates
Opioids

A

Barbiturates

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8
Q

MOA
Mimic endogenous neurotransmitters by stimulating opioid receptors, increase release of dopamine

Barbiturates
Opioids

A

Opioids

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9
Q

Used for
Pain management

Barbiturates
Opioids

A

Opioids

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10
Q

Hydromorphone (Dilaudid)
Morphine

Barbiturates
Opioids

A

Opioids

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11
Q

Codeine

Barbiturates
Opioids

A

Opioids

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12
Q

Heroin

Barbiturates
Opioids

A

Opioids

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13
Q

Methadone (Dolophine)

Barbiturates
Opioids

A

Opioids

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14
Q

This drug group affect dopamine which means the pt will feel sedated

Barbiturates
Opioids

A

Opioids

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15
Q

A feeling of great happiness or well-being

A

Euphoria

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16
Q

reduced pupil size (constricted)

Barbiturates
Opioids

A

Opioids

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17
Q

Affect mood, feelings of Euphoria or feeling normal, sedation, memory and concentration
difficulties,, reduced pupil size (constricted), constipation, urinary retention, decreased
libido

Barbiturates
Opioids

A

Opioids

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18
Q

Overdose: Respiratory depression, stupor, coma

Barbiturates
Opioids

A

Opioids

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19
Q

an excessively deep state of unresponsiveness

A

stupor

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20
Q

stupor

Barbiturates
Opioids

A

Opioids

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21
Q

Overdose: Respiratory depression, stupor, coma

Barbiturates
Opioids

A

Opioids

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22
Q

This drug will only made someone more sedated leading to coma

Barbiturates
Opioids

A

Opioids

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23
Q

For Opioids what drug is used to treat overdose

A

Naloxone (Narcan)

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24
Q

Treatment for suspected opioid overdose – Naloxone (Narcan)

Barbiturates
Opioids

A

Opioids

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25
Q

Opioids
Withdrawal Syndrome: ? hours after last dose

A

36 -72

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26
Q

An excessive discharge of mucus from the nose

A

Rhinorrhea

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27
Q

withdrawal Syndrome

yawning, rhinorrhea, diaphoresis, tremor, restlessness, irritability,
bone pain, muscle spasms, chills, piloerection (goosebumps), N/V/D, watery eyes, anorexia

Barbiturates
Opioids

A

Opioids

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28
Q

Goosebumps

A

Piloerection

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29
Q

successful in withdrawal, doesn’t decrease cravings

Clonidine
Buprenorphine
Naloxone
Subutex

A

Clonidine

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30
Q

is a long-acting partial agonist that acts on the same receptors as heroin and morphine- relieves drug cravings and the patient doesn’t experience an elevated “high’ or the serious side effects

Clonidine
Buprenorphine
Naloxone
Subutex

A

Buprenorphine

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31
Q

Low dose ? produces enough agonist effect to enable opioid addicted patience to
discontinue misuse of opioids without having withdrawal symptoms

Clonidine
Buprenorphine
Naloxone
Subutex

A

Buprenorphine

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32
Q

Are combined into one composition called Suboxone

Clonidine
Buprenorphine
Naloxone
Subutex

A

Buprenorphine
Naloxone

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33
Q

Suboxone

Clonidine
Buprenorphine
Naloxone
Subutex

A

Buprenorphine
Naloxone

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34
Q

Used for maintenance of opioid addiction; sublingually as one dose and can be repeated up 3X day

Suboxone
Subutex

A

Suboxone

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35
Q

Buprenorphine only medication, safe in pregnancy

Suboxone
Subutex

A

Subutex

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36
Q

Safe in pregnancy

Clonidine
Buprenorphine
Naloxone
Subutex

A

Subutex

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37
Q

Suboxone given ? as one dose and can be repeated up 3X day

A

sublingually

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38
Q

were combined to protect patient from overdose if misuse of opiates

Clonidine
Buprenorphine
Naloxone
Subutex

A

Buprenorphine
Naloxone

39
Q

Maintenance treatment for opioid addiction

Methadone (Dolophine)
Cocaine

A

Methadone (Dolophine)

40
Q

Binds to opioid receptors in the CNS to produce analgesia, euphoria , sedation ; the same receptors that mediate the effects of endogenous opioids

Methadone (Dolophine)
Cocaine

A

Methadone (Dolophine)

41
Q

Methadone – half-life ? hours

A

15-30

42
Q

MOA Blocks norepinephrine and dopamine reuptake

Methadone (Dolophine)
Cocaine

A

Cocaine

43
Q

Euphoria, alertness, anorexia, increased strength initial effects

Methadone (Dolophine)
Cocaine

A

Cocaine

44
Q

Increased strength initial effects

Methadone (Dolophine)
Cocaine

A

Cocaine

45
Q

Creates a feeling of a high

Methadone (Dolophine)
Cocaine

A

Cocaine

46
Q

Effect
Euphoria, dilated pupils, deep respirations, increased mental alertness, anorexia, increased strength, increased libido, intense paranoia

Methadone (Dolophine)
Cocaine

A

Cocaine

47
Q

Feelings of bugs crawling under their skin (formication)

Methadone (Dolophine)
Cocaine

A

Cocaine

48
Q

Feelings of bugs crawling under their skin

A

Formication

49
Q

Sense foul smells, nasal septum perforation r/t snorting

Methadone (Dolophine)
Cocaine

A

Cocaine

50
Q

respiratory and metabolic
acidosis, arrythmias and coronary artery spasms

Methadone (Dolophine)
Cocaine

A

Cocaine

51
Q

Young adults – heart failure, stroke

Methadone (Dolophine)
Cocaine

A

Cocaine

52
Q

Methylphenidate (Ritalin), Methylenedioxymethamphetamine (MDMA or ecstasy)- high rate of trading
or selling in high school or college to increase alertness when completing assignments and exam
performance

Amphetamines
Cocaine

A

Amphetamines

53
Q

Dilated pupils

Methadone (Dolophine)
Cocaine

A

Cocaine

54
Q

PNS effects – elevated blood pressure, tachycardia, palpitations, increased respirations

Amphetamines
Cocaine

A

Both

55
Q

Overdose: Cardiac arrhythmias or arrests

Amphetamines
Methadone (Dolophine)
Cocaine

A

Amphetamines
Cocaine

56
Q

Cycle motor retardation at first and then agitation

Amphetamines
Methadone (Dolophine)
Cocaine

A

Amphetamines
Cocaine

57
Q

Fatigue and then insomnia

Amphetamines
Methadone (Dolophine)
Cocaine

A

Amphetamines
Cocaine

58
Q

vivid, unpleasant dreams

Amphetamines
Methadone (Dolophine)
Cocaine

A

Amphetamines
Cocaine

59
Q

Decreased appetite

Amphetamines
Methadone (Dolophine)
Cocaine

A

Amphetamines
Cocaine

60
Q

a state of feeling unhappy, uneasy, or dissatisfied

A

dysphoria

61
Q

Severe dysphoria and anxiety

Amphetamines
Methadone (Dolophine)
Cocaine

A

Amphetamines
Cocaine

62
Q

? withdrawal is not as
pronounced as ? withdrawal

A

Amphetamines
Cocaine

63
Q

Alternates with use of depressants

Amphetamines
Methadone (Dolophine)
Cocaine

A

Amphetamines
Cocaine

64
Q

Weight loss and resulting malnutrition and increased
susceptibility to infectious diseases.

Amphetamines
Methadone (Dolophine)
Cocaine

A

Amphetamines
Cocaine

65
Q

May produce schizophrenia like syndrome with
paranoid ideation thought disturbance hallucinations and stereotype movement events

Amphetamines
Methadone (Dolophine)
Cocaine

A

Amphetamines
Cocaine

66
Q

schizophrenia like syndrome

Amphetamines
Methadone (Dolophine)
Cocaine

A

Amphetamines
Cocaine

67
Q

Deviated nasal septum and irreversible nasal damage secondary to snorting

Amphetamines
Methadone (Dolophine)
Cocaine

A

Amphetamines
Cocaine

68
Q

Stimulates the nervous system by binding to serotonin receptors

Amphetamines
Cocaine
LSD

A

LSD

69
Q

Synethesia - tasting a sound or smelling a color

Amphetamines
Cocaine
LSD

A

all

70
Q

Dilated pupils

Amphetamines
Cocaine
LSD

A

all

71
Q

Elevated blood pressure

Amphetamines
Cocaine
LSD

A

all

72
Q

Tachycardia

Amphetamines
Cocaine
LSD

A

all

73
Q

Shaking

Amphetamines
Cocaine
LSD

A

all

74
Q

CNS effects – impaired judgement, distortions, unreality and perceptual variations

Amphetamines
Cocaine
LSD

A

all

75
Q

Which of the following has caffine

Coffee
Tea
Cocoa
Soft drinks
Chocolate
OTC medications (cold medications, analgesics)
Appetite suppressants
Energy drinks

A

All

76
Q

Effects: Stimulation, inexhaustibility, increased mental acuity

Caffeine
Nicotine

A

Caffeine

77
Q

Overdose: insomnia, excitement, nervousness, restlessness, flushing, diuresis, muscle twitching,
gastrointestinal disturbance, tachycardia or cardiac arrhythmia, agitation, rambling thought process
and speech

Caffeine
Nicotine

A

Caffeine

78
Q

Withdrawal syndrome: headache, decreased psychomotor performance, difficulty concentrating,
yawning, nausea, fatigue, drowsiness

Caffeine
Nicotine

A

Caffeine

79
Q

Most prevalent in –(Menatal Health d/o) schizophrenia
bipolar disorder
post traumatic stress disorder
alcohol and illicit drug use

Caffeine
Nicotine

A

Nicotine

80
Q

Acts as an agonist of the nicotine cholinergic receptor sites stimulating the automatic
ganglia in the parasympathetic and sympathetic nervous system

Caffeine
Nicotine

A

Nicotine

81
Q

The release of ? by nicotine increased the risk for atherosclerosis and heart disease

A

epinephrine

82
Q

Effects: stimulation, appetite suppression, enhance performance, increased alertness

Caffeine
Nicotine

A

Nicotine

83
Q

Overdose: anxiety

Caffeine
Nicotine

A

Nicotine

84
Q

Withdrawal syndrome: mood changes; anxiety, cravings and physiological changes; sleep disturbances,
headaches, poor concentration, increased appetite, gastric disturbance

Caffeine
Nicotine

A

Nicotine

85
Q

Prolong use: increase risk for developing cardiac disease lung cancer , or COPD

Caffeine
Nicotine

A

Nicotine

86
Q

Which suppressing appetite and causes weight loss as an effect

Caffeine
Nicotine

A

Nicotine

87
Q

Which can cause weight gain and increased appetite with withdrawal

Caffeine
Nicotine

A

Nicotine

88
Q

Transdermal Patches (rotate skin sites)
Nicotine Gum

A

Nicotine Cessation

89
Q

Nasal Spray
Nasal Inhaler

A

Nicotine Cessation

90
Q

Medications – Antidepressant Bupropion- Zyban

A

Nicotine Cessation

91
Q

Varenicline tartrate (Chantix) – reduces cravings

A

Nicotine Cessation

92
Q

Auricular therapy – ear acupressure

A

Nicotine Cessation

93
Q

Electronic cigarettes

A

Nicotine Cessation