Flashcards in E4: Drug Abuse/Addiction Part IV Stimulants Deck (64):
What are the two LEGAL stimulants?
Caffiene and Nicotine
What is the drug of choice for MOST AMERICANS?
HOW much of each will cause Caffeine withdrawals: coffee, tea, soda?
coffee: 1 cup tea: 2 cups soda:3 cans
DO YOU SEE WHAT HAPPENS when you go off Caffeine???Symptoms appear within _______ of last caffeine use
DO YOU SEE WHAT HAPPENS when you go off Caffeine???Symptoms peak at ________
DO YOU SEE WHAT HAPPENS when you go off Caffeine???Symptoms last for _____ Headache, Flu-like symptoms, Depression, anxiety, Lethargy, fatigue
Cocaine is a CNS STIMULANT with ________ properties
Cocaine is a POTENT _________
Cocaine Produces profound sense of _______
INTERESTING: Produces intense ________ dependency, but no _______ OR ________
psychological...tolerance OR withdrawal
What are the 9 signs of cocaine use?
GB-T-ND-HHAT: 1.Gingival Bleeding/Recession Max PM 2.Bone Resorption in Max PM area 3.Tremors 4.NoseBleeds 5.Dilated Pupils 6.Hypertension 7.Headache 8. Alertness 9. Talkative!
How long does Dilated Pupils take after Coke use?
45 minutes after use
NEVER give EPI within ______ of COKE use
What causes Cocaine induced Gingival Necrosis?
The vasoContrictive effect of cocaine
What are the 3 clinical uses for AMPHETAMINES?
1.Diet Pills 2.Energy Pills 3.Tx of ADHD
What is the most common abused form of Amphetamine?
Methamphetamine (crystal meth)
How can you MAKE methamphetamine?
Cook down pseudoEphedrine (sudafed)
Which drug produces a LONGER duration of action: METH or COKE?
Amphetamines stimulate which autonomic NS?
What is the drug for ADHD that blocks Reuptake of dopaminergic neurons?
What do you avoid when on Methyl-Phen-i-Date (Ritalin)?
Which ADHD drug has minimal sympatic effect and blocks reuptake of dopaminergic neurons?
Which ADHD drug blocks reup of BOTH dopamine and norepi?
What does dextroAmphetamine inhibit?
Monamine Oxidase (MAO)
dextroAmphetamine Enhances sympathomimetic response of epinephrine/norepinephrine SO avoid _________
What is our only ADHD drug that is NOT an amphetamine?
Atomoxetine (adhd med) (not an amphetamine) Selectively inhibits reuptake of ________ with little to no activity at OTHER reuptake or receptor sites
Atomoxetine (adhd med) (not an amphetamine) May increase heart rate and blood pressure in presence of a pressor agent = use _________ with caution
vasoconstrictor...hmm common theme
COOL! What is the name for Ecstasy???
MDMA (bath salts were MDPV)...MethyleneDioxyMethAmphetamine
What was ecstasy first used for?
Ecstasy is a stimulant _______ drug that induces ______
HOW does ecstasy induce euphoria?
alters SEROTONIN and DOPAMINE neurotransmission
Ecstacy Enhances self-awareness and ability to ________ and can last ________
communicate ..... Duration of action = 4-6 hours
What is the dental side effect of Ecstacy?
Trismus and bruxism
What are the 3 fatal side effects of ecstasy?
1.cardio toxicity 2.hyperthermia 3.coagulopathy
Which organ is affected most by ecstasy? (besides the brain yo!)
Can you build a tolerance to Ecstacy?
Methamphetamine: A type of amphetamine used in the form of crystalline ________
hydrochloride...HCl (isn't that really acidic??)
the Medical use for meth is its ______ form which is called:
dextrorotary form---dextroMethamphetamine (Desoxyn)
What is dextromethamphetamine indicated for?
ADHD, Narcolepsy, obesity (short term)
WHAT are the 3 neurotransmitters triggered when Meth enters the brain?
1.norepi 2.dopamine 3.serotonin
Meth Prolongs presence of neurotransmitters in the synapse by inhibiting _______; stable against degradation
WEIRD WORD: Stimulates the _______ reward pathway, causing euphoria and excitement
The first time meth is used, the brain is flooded with _______ for INTENSE feelings of _______
T/F brain structure and function can be altered with chronic METH use.
METH: Acute physical effects = resemble "_______" response
“fight or flight”
Methamphetamine is NEUROTOXIC = especially to WHAT TYPE of neurons????
WHY is meth neurotoxic to dopaminergic neurons?
Degradation of dopamine produces reactive oxygen species (“free radicals”) such as HYDROGEN PEROXIDE (get on that ketogenic diet SON!)
Methamphetamine users often have unusual ________ of the skin on the face, arms and legs
lesions and scabbing
What the hell is FORMICATION?
the sensation of insects crawling beneath the skin
What are the three organs attacked by Meth? (other than the brain yo!)
1.lung 2.kidney 3.liver
Meth: Hallucinations---Paranoia---Delusions---Thought disorders are called "_________"
What are the 4 main warning signs of a kid on meth?
1.prolonged sleep 2.moodiness 3.depression 4.suicidal
Meth is especially addictive when administered by ______ or ______
injected or smoked
Do we have drugs to help break meth addiction, like heroin?
Meth: Increasing frequency of use among ________ and young professionals
What was the main action of Combat Methamphetamine Act of 2005?
Requires retailers who sell ephedrine, pseudoephedrine and phenylpropanolamine to keep products behind the counter
****Know these**** Clinical Signs of Meth Use (7)
HAD-B-MIX 1.HTN 2.Anorexia 3.Dilated Pupils 4.Bruxism 5.Moodiness 6.Increase Sweat 7.Xerostomia
Meth Mouth- ______ of teeth and restorative materials
****Know these****Signs of Stimulant Overdose (8)
THE-HED-CH...1.Tremors 2.Hyperactive 3.Elevated Pulse 4.Hyperthermia 5.Extreme Sweating 6.Dilated Pupils 7.Cardiac Arrythmias 8.HTN
Nicotine is a CNS _______ and is highly _______ (both physical and psychological)
*know* what are the 4 desired effects of nicotine?
1.increased alertness 2.muscle relaxation 3.facilitate concentration/memory 4.decreased appetite
**know these** What are the 8 harmful effects of Nicotine?
NIC-HOLD-P.....1. Nausea/vomiting 2. Irritability 3.Coronary Artery Disease 4. HTN 5. Oral Cancer 6. Lung cancer 7.Dizziness 8.pulse