E4: Drug Abuse/Addiction Part III Opioids

Question 1

What is the opioid WIDELY used by dentists?

Answer 1

OxyCodone

Question 2

What is the legitamet medical use?

Answer 2

painkillers

Question 3

Opioids are abused because they produce complete _______ of all drives in the body: Elevate mood, Cause euphoria.. Reduce sexual desires…Diminished response to provocation

Answer 3

satiation

Question 4

Opiods: ________ dependency increases motivation to obtain the drug, because its mainly fear of _______ overriding motivation to stop

Answer 4

Physical…withdrawal

Question 5

INTERESTING! ________ was designed for morphine tolerant patients?

Answer 5

Oxycodone

Question 6

Oxy is “_______” – which dissolve slowly for extended release

Answer 6

layered

Question 7

Which opioid is a RED FLAG request?

Answer 7

Roxicet (easier to dissolve, less binder)

Question 8

What are the two main ingredients in Percocet and Roxicet?

Answer 8

Oxy + aCETaminophen…GET IT?!

Question 9

In general _______-release, oral-dosage forms of opiates are highly monitored c/o abuse.

Answer 9

extended.. (they have much more drug in them!!)

Question 10

SAY WHAT _______ deaths are now second only to major vehicle fatalities for number of deaths per year.

Answer 10

drug-induced

Question 11

Number of _____ dying from opioid painkiller overdose has increased fivefold between 1999 to 2010

Answer 11

WOMEN

Question 12

6600 women (18 women per day) died from prescription painkiller overdose in 2010….More than ________ and ______ combined

Answer 12

cocaine and heroin

Question 13

What age range is most hit by this women and pain killers phenomenon?

Answer 13

25-54

Question 14

Abuse of prescription painkillers by pregnant women can put an infant at risk….its called ______ and it grew by _____% from 2000 to 2009!

Answer 14

Neonatal Abstinence Syndrome…300%

Question 15

The 5 CDC Opioid recommendations: 1. Follow guidelines for responsible opioid prescribing: _______ for substance abuse and mental health problems

Answer 15

screening

Question 16

The 5 CDC Opioid recommendations: 2. Use ____’s prescription drug monitoring programs

Answer 16

State’s

Question 17

The 5 CDC Opioid recommendations: Discuss pain treatment options, including :

Answer 17

those that DO NOT INVOLVE prescription drugs

Question 18

The 5 CDC Opioid recommendations: Discuss risks/benefits of taking prescription painkillers like: _________ and ______

Answer 18

Chronic conditions and during pregnancy

Question 19

The 5 CDC Opioid recommendations: AVOID prescribing combinations of prescription painkillers and ________!!

Answer 19

benzodiazepines!!

Question 20

Clinicians must avoid ________ and limit quantities of prescribed pain medications and other controlled substances in an effort to help combat intentional drug abuse.

Answer 20

overprescribing

Question 21

What is the most RAPIDLY acing opiate?

Answer 21

heroin

Question 22

3 out of 4 NEW heroin users report having abused _______ prior to using heroin

Answer 22

prescription opioids

Question 23

Know These What are the 7 signs of ACUTE OPIOID OVERDOSE??

Answer 23

PCDS-SDH 1.pinpoint pupils 2.depressed respiration 3.Hypotension 4.Shock 5.Slow/Absent Reflexes 6.Drowsiness 7.Coma

Question 24

What are the two drugs used to treat overdose/withdrawal?

Answer 24

1.Naloxone(Narcan) and 2.Methadone

Question 25

Which drug am I? Used to reverse respiratory depression, pinpoint pupils and coma...Oral surgeons have this drug in office emergency kits....Used for acute narcotic overdose

Answer 25

Naloxone

Question 26

Which drug am I? Long-acting opioid that can replace heroin then be gradually withdrawn....Physiologically equivalent drug to heroin that is used during long-term rehabilitation programs

Answer 26

METH-A-DONE with heroine...(i think Tanner is on this one.)

Question 27

Watch for ____________: patients asking for very potent pain meds following dental procedures = a sign of addiction.....use ______ instead

Answer 27

drug-seeking behaviors (you know, you fit the MODEL for drug seeking behavior). use NSAIDS

Question 28

What are the 3 main consequences of using IV when abusing opioids?

Answer 28

1.Hep B 2.HIV 3.Damaged heart valves (antibiotic PREmed)

Question 29

T/F: Dentists prescribe prophylactic antibiotics to patients with a history of abusing IV drugs.

Answer 29

True

Question 30

What are 4 popular Benzo's?

Answer 30

1.Diazepam (Valium) 2.Lorazepam(Ativan) 3.Triazolam (Halcion) 4.Midazolam(Versed)

Question 31

Which benzo I used as a sedative/ hypnotic sleeping pill?

Answer 31

Triazolam (Halcion)

Question 32

Which Benzo is used for pre-op sedation and for the induction of general anesthesia?

Answer 32

Mid-az-o-lam (Versed)

Question 33

Prescribers rarely understand addictive quality of Benzo's with related complications in _____ patients

Answer 33

elderly

Question 34

Patients develop “____________” due to unavailability of benzo's or during hospitalization for other medical problem

Answer 34

benzo-abstinence syndrome

Question 35

What are the 3 main indications for Benzodiazapines?

Answer 35

1.Chronic Anxiety 2.Depression 3.Sleep Disturbance (4.undercover staties')

Question 36

If you suspect some one has chronic anxiety, you shold automatically check for _________

Answer 36

DEPRESSION

Question 37

Why aren't Benzo's a very good way to improve sleep disturbances?

Answer 37

Nightly use loses effectiveness in 3-6 months c/o tolerance

Question 38

Benzo's: Significant ______ effect with other sedative hypnotic drugs (opiates, alcohol)

Answer 38

additive (TAG TEAM)

Question 39

Why do Benzo's cause EASY intoxication?

Answer 39

They have a PROLONGED HALF LIFE!

Question 40

WE ALL KNOW that Benzo's and EtOH DO NOT MIX. Why?

Answer 40

CNS depression-->RESPIRATORY depression-STOP breathing

Question 41

How long does the risk for mixing EtOH and benzo's last, even after your last dose of Benzo?

Answer 41

Valium lasts 20-50 hours in its half life...SO DAYS after last dose!!

Question 42

What is the ANTIDOTE for BDZ Overdose? How does it work?

Answer 42

FLUM-AZ-EN-IL..its a BDZ antagonist (blocker)

Question 43

Why can FlumAZenil not reliably reverse the respiratory depression associated with BZD overdose?

Answer 43

It does not block the respiratory effects of the other combination drugs that caused an OD

Question 44

BDZ reversal may cause _______ = be prepared to manage

Answer 44

seizures