Control Substances Diverion Prevention -NPTA Flashcards
The transfers of a controlled substance from a lawful to an unlawful channel of distribution or use
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What is drug diversion?
There are five frequently, abused drug classes:
Opioids.
Stimulants
Depressants
Anabolic steroids
Hallucinogens
Commonly abused opioids:
Fentanyl
Oxycodone.
Meperidine
Hydrocodone.
Hydrocodone w/acetaminophen.
Hydromorphone.
Morphine.
Codeine
Acetaminophen with codeine
Commonly abused benzodiazepines ( this is a controlled substance often used for anxiety)
Alprazolam
clonazepam
Diazepam
Lorazepam 
-drug regimen consisting of 1 opioid ,1 benzodiazepine ,carisoprodol,
-Independently they provide benefit to the injury patient; however, combined that is a little rationale for a legitimate use
-Therapeutic benefits don’t outweighed the risk of these three medication
-produces euphoria similar to that of heroin and is addictive
-short, duration of action, but rapid onset of action
-In combination, these drugs are synergistic in causing respiratory depression possibility death
-Patience addition of alcohol to “HOLY TRINIY” drugs result in CNS depression
“ HOLY TRINITY “ drugs
What is Chronic, relapsing disorder, characterized by compulsive drugs seeking, continued, use the spy, harmful consequences, and long lasting changes in the brain.
-A complex brain disorder and a mental illness
-what is addiction?
-taking in larger amounts or over a long period then was intended.
-Persistent design or unsuccessful effort to cut down use.
-Time is spent to obtain, use, or recovered from the substance ‘s effect
-craving, or a strong desire or urge , to use the substance
-unable to fulfill major road obligations at work, school, or home due to drug use
What are drug addiction characteristics?
Commonly abused, benzodiazepam :(controlled substance, are often used for anxiety)
Alprazolam
Clonazepam
Diazepam
Lorazepam
Holy trinity drugs
— drug regimen consistent one opioid,one benzodiazepine, and carisoprodol,
— independently they provide benefits to the injured patient; however,  combined that is a little rationale for a legitimate use
— therapeutic benefit, don’t wait the risk
— produces euphoria similar to that of Herion, and is addictive
What is Holy trinity Drugs
—Short, duration of action, but rapid onset of action
— in combinations, this drugs are synergistic in causing respiratory depression possibility y death.
— patienct’s addiction of alcohol to “holy Trinity “drugs result in CNS death, depression.
-electronic database that trucks controlled substance prescription in a state-“.
-provide health authorities, real-time information about prescribing and patient behaviors
-Healthcare providers are able to view a patient prescribing history and should enter prescription information into PD and P
-Pharmacists are required to enter controlled substance prescription into PDMP(
 Patient First date prescriber scribers DEA medication and the date. These PDM programs are used by programs, healthcare, health department, and why 
PDMP
Why are controlled substances diverted? there are three: 
Addiction
recreation used.
Financial gain 
taking in large amount, or over a longer period then was intended. -persistent, desire, or unsuccessful effort to cut down use
-Time is spent to obtain, you shall recover from the substanc e. Effect.
-craving, or a strong desire, or urge to use the substance
unable to fulfill, major role obligations at work, school, or Home due to a drug used
There are many Drugs addiction characteristic -
What is “holy trinity “ drugs ?
-Commonly prescribed by “pill mills
-often and Pharmacist are involved in filling prescriptions from “pill mills”
-patient use multiple pharmacies in feelings for this drug regiment
1- a need for markedly increased amount for the substance to achieve intoxication or desired effects
2-I markedly diminished effect with continued use of the same amount of the substance
What is tolerance?
1-present a physical or psychological symptoms that occur after the stoppage, or reducing the intake of substance.
2-the use of a substance to relieve or avoid withdrawal symptoms
What is withdrawal? 
-chills and sweats
-sleeplessness
-fever
-runny nose.
-Nausea and vomiting.
-Muscle aches, or cramps
-Anxiety
-Elevate blood pressure.
-Delirium
-Hallucination
-Seizures
-
Common withdrawal symptoms
-to feel good
-just scape.
-Perform better at school or work.
-Curiosity.
recreational use for?
Who is diverter?
-someone you least expect it.
-Can be exemplary employees
-Awesome first to volunteer to pick up extra shifts
-Excessive ordering.
-Unsupervised access to dry storage area.
-Unverified verbal orders
-Flexible all the rain.
-forgery
Compounding and repackaging
-typical dosage smaller than stop use.
-Poor verification of dispensing to clinical use.
-Reduced pharmacy oversight or dispensing with introduction of technology.
-Loopholes in the intended use automatic dispenser the cabinet (ADC)
-prepare drugs, unsupervised, and insecure-unsupervised access to drugs stops in patient care area
Healthcare contributor to diversion to control Substances;
It
is prescription drug monitor program?(pDMP) -electronic database that traffic control substance prescription in a state-
-I provide health authorities, real time information about prescribing and patient behaviors-
-Healthcare providers are able to review patient’s prescribing history and should enter prescription information into PDMPs
-pharmacist are required to enter controlled substance prescription into PDPM. (pharmacist required. Enter patients name address of birth, prescriber DA medication, quantity direction date of prescription.
-Used by state insurance programs, healthcare, license board, state health department in law
-What is prescription drug monitor program?(pDMP) ?
Why are controlled substances in divergent?
1-addiction
2-Recreational use
3-financial gain
-taking a large amount all over a long period of time then has the intended.
-Persistent, decide, or unsuccessful effort to cut down use
-continued use despise social or into a personal problem. Callcaused by use.
-Time is spent to obtain, use all recovered from the substance’s effect
-craving, or a strong desire, or urge to use the substance.
-Unable to fulfill major role, application at work, school, or home due to drug use
-social, occupational, or regulation note activities are giving up or reduced due to used.
-Use of the substance is recurrent in hazardous situation such as driving.
-Continued use despite no physical or psychological problems due to drug.
-Tolerance.
-Withdrawal.
Drug addiction characteristic:
-I need for markedly increased amounts of the substance to achieve intoxication or design effect.
-A Markedly diminished effect with continue use of the same amount of substance
What is tolerance?
-presence of physical or psychological symptoms that occur after the stoppage or reducing the intake of substance — do use of a substance to release or avoid withdrawal symptoms.
What is withdrawal?
Common withdrawal symptoms
Chill and sweat.
Sleeplessness.
Fever.
Running nose.
Nager and vomiting.
Muscle aches I’ll cramps.
Anxiety.
Elevated blood pressure.
Elevated heart rate.
Delirium.
Hallucination
Seizures
-to feel good-
-To escape
-perform better at school or work
-Curiosity
What is recreational use ?
-Excessive ordering
-Unsupervised access to drug storage area.
-Unverified verbal orders.
-Flexible ordering.
-Forgery
-Compounding and repackaging.
-Typical those smaller than stocked drugs.
-Poor verification of dispensing to clinical unit
-Reduced pharmacy oversight of dispensing with introduction of technology
-New pose in the intended use of automated dispensing cabinets
(ADC)
-Prepare drugs are unsupervised and unsecure
-Unsupervised access to drug stock in patient care area
-abc may not be ultimately configured, updated, or monitored
-Flexibility in administration
-Falsification of patient documentation
-Visual confirmation of wasting cannot detector content
-falsification of drug expiration
-Present a partially administered drugs or clinical units
-Unsecure waste receptacles (nursing units)
-Complacency in the enforcement of wasting procedures
-Fortification of witnessing of destruction
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Healthcare contributor to diversion :
