E & Opioids

Question 1

Ecstasy is made from…

Answer 1

MDMA in illegal labs

Question 2

Ecstasy works similarly to…

Answer 2

Stimulants & Hallucinogens

Question 3

Ecstasy dose?

Answer 3

50-200mg

Question 4

Onset and duration?

Answer 4

60-90m

3-6h

Question 5

Short term effects of E?

Answer 5

Pleasure, wellbeing, confidence

Sociable, open, sensitive

Question 6

Assess for in E intoxication?

Answer 6

PUPILS

HR, BP, R, T UP

Question 7

Long-term effects of E?

Answer 7

Forgetfullness/depression

Sleeping problems, confusion, paranoia

Question 8

Tolerance for E develops…

Answer 8

Quickly

Question 9

T/F Physical dependence is more common than psychological.

Answer 9

FALSE - other wa around

Question 10

WD symptoms of E?

Answer 10

Need/craving

Question 11

Death by E?

Answer 11

Dehydration + Increased BP/HR+ Impaired

Clotting = Bleed out/heart & kidney failure

Question 12

Opioids are used to treat 4 things.

Answer 12

Pain
Diarrhea
Cough
Addxn to other opiates

Question 13

Opioids may originate 3 ways.

Answer 13

Naturally occurring
Semi-synthetic
Synthetic

Question 14

Naturally occurring opioids?

Answer 14

Codeine

Morhpine

Question 15

Semi-synthetic opioids?

Answer 15

Heroin

Oxycodone

Question 16

Synthetic opioids?

Answer 16

Methadone

Meperidine

Question 17

Opioids may act 3 ways..

Answer 17

Long-acting
Short-acting
Continuous release

Question 18

Short term effects include? PPN

Answer 18

Physical pain relief
Perception of pain relieved
Nausea

Question 19

In addition, short term effects may include (3phys, 3 psych)

Cls red

Answer 19

Constipe
Loss of Appetite
Sweating

Euphoria
Relaxation/Sedation
Difficulty Concentrating

Question 20

Long term effects of opioids include (3phys 2psych) scads

Answer 20

Sexual dysfunction
Constipe - for serious
Amn/dysmenhorrhea

Depression
Sleep probs

Question 21

Extended use of opioids can cause 2 major changes in brain.

Answer 21

Inability to make natural opioids

Changes to neural system that regulates mood

Question 22

This is an opiate antagonist & can save a person from overdose.

Answer 22

NARCAN

Question 23

After NARCAN is administered?

Answer 23

Monitor for 24h as receptors can refill with opiate

Question 24

Toxic effects include (2)

Answer 24

Changing ER to Rapid action may cause OD/Death

Mixed with depressants = resp depression

Question 25

Withdrawal from opiates is a real bitch, including:

Answer 25

Muscle & bone pain Piloerection Hot/cold flashes Pupil dilation, insomnia NVD

Question 26

Low potency opiates?

Answer 26

Codeine Talwin Percocets

Question 27

Potent Opioids (rx-4)

Answer 27

Oxy Dilaudid MSContin Fentanyl

Question 28

Potent street opioids (2)

Answer 28

Street methadone | Heroin

Question 29

Tylenol 1's other use?

Answer 29

Backup when out of potent opioids! Cold water extraction for codeine

Question 30

Taking 50-100 tabs of t1=

Answer 30

Acute liver dysfnxn

Question 31

After 5-15 years on this pt's see increasing dysfunction

Answer 31

Codeine

Question 32

When we see people addicted to codeine they're also using:

Answer 32

T1's T3's Alcohol & benzos

Question 33

This drug has surpassed marijuana as teenager's experimental drug

Answer 33

Oxycodone (chew, swallow, snort)

Question 34

Oxycodone is the gateway to...

Answer 34

Oxycontin

Question 35

T/F 5mg oxycodone is easy to get

Answer 35

TRUE | Tattoos, sports, easy to score

Question 36

Injection use is most common with these 2

Answer 36

Dilaudid | Morphine

Question 37

Smoked or injected, often followed by an 'oxycontin wave'

Answer 37

Heroin

Question 38

These are often cut up into chiclets and chewed, or cooked and used IV

Answer 38

Fentanyl Patches

Question 39

Fentanyl is unpredictable in that.......which leads to higher risk of...

Answer 39

Don't know how much you're taking | Risk of overdose

Question 40

This is usually bought to balance WD symptoms

Answer 40

Street Methadone

Question 41

This is meant to be long acting until it's chewed, snorted or injected. Reputation as a fun party drug.

Answer 41

Oxycontin

Question 42

T/F People who are opiate naïve can easily OD on street methadone.

Answer 42

TRUE

Question 43

T/F Opioids have a higher death rate

Answer 43

TRUE

Question 44

It is easy to achieve prolonged abstinence from opioids. T/F?

Answer 44

FAlSE

Question 45

Specific treatments for opioids?

Answer 45

Methadone | Suboxone