substance abuse

Question 1

opiates types

Answer 1

heroin
codeine
morphine sulphate
methadone

Question 2

how does heroin work?

Answer 2

binds opiate receptors in brain that regulate pain and reward centres

uh but also in brain stem where we breathe and heart rate and arousal

Question 3

half life heroin?

Answer 3

8 hrs

Question 4

acute effects of heroin?

Answer 4

1. euphoria
2. dry mouth
3. heavy extremities
4. alternate wakeful and drowsy state

Question 5

chronic effects of heroin?

Answer 5

1. OD
2. spontaneous abortion
3. hep C + HIV
4. collapsed veins
5. thrombophlebitis
6. skin infxn
7. abscess
8. IE
9. liver/kidney dz

Question 6

symptoms of opiate withdrawal?

Answer 6

1. abdo cramps
2. NVD
3. goosebumps
4. sweating
5. rhinorrhoea, lacrimation
6. yawning
7. irritable, sleepy

Question 7

when does withdrawal start heroin

Answer 7

6-8 hrs

Question 8

peak of withdrawal symptoms from heroin is at?

Answer 8

36-48hrs

Question 9

how common is accidental OD in heroin user?

Answer 9

85% have reported it

Question 10

style of session in NA?

Answer 10

confrontational

Question 11

tx for opioid dependency?

Answer 11

1. rapid detox over a week with oral substitute eg methadone, buprenorphine
2. maintenance
3. harm reduction approach - understand they will use