Module 6 - Substance Misuse Flashcards
(28 cards)
What drugs are associated with respiratory depression?
Heroin
Fentanyl
What drug is associated with facial burns and lacerations?
Crystal Meth
(when the pipe shatters)
What is another adverse event that can happen from smoking crystal meth?
Pulmonary emboli from inhaled RB (inhaling bits of Brillo pad)
What drug can present with chest pain or could be having an MI from overuse?
Crack / Cocaine
What are the three gateway drugs for youth?
- ETOH
- Smoking
- Marijuana
What are common assessment findings for the Opioid Toxidrome?
- Constriction of pupils
- Low RR
- Apnea
- Hypothermia
- Decreased HR
- Decreased BP
- Pulmonary Edema
What are common assessment finding for the Anticholinergic Toxidrome?
- Dilation of pupils
- Hyperthermia
- Increased RR, HR, BP
- Dry, flushed skin
- Dry mucus membranes
- Urinary retention
- Involuntary movements
What are some common assessment finding for the Sympathomimetic Toxidrome?
- Hyperthermia
- Increased RR, HR, BP
- Widened pulse pressure
- Pupil dilation
- Diaphoresis
- Tremors
- Hyperreflexia
- Seizures
What are some common assessment findings for the Hallucinogenic Toxidrome?
- Pupil dilation
- Hyperthermia
- Increased RR, HR, BP
- Nystagmus
- Mood swings
- Lack of rational thought
What are some common assessment findings for the Cholinergic Toxidrome?
- Pupil Constriction
- Low HR
- Low or High RR / BP
- Salivation
- Urinary incontinence
- Diarrhea
- Emesis
- Diaphoresis
- Bronchoconstriction
- Muscle Fasciculations
- Weakness
- Seizures
What are some common assessment findings for the Hypnotics Toxidrome?
- Hypothermia
- Low RR, HR, and BP
- Apnea
- Hyporeflexia
What are the drugs associated with the opioid toxidrome?
- Heroin
- Fentanyl
- Morphine
- Methadone
- Oxycodone
- Hydromorphone
What are the drugs associated with the anticholinergic toxidrome?
- Antihistamines
- TCAs
- Atropine
- Cyclobenzaprine
- Antiparkinson
- Midazolam
What are the drugs associated with the sympathemimetic toxidrome?
- Cocaine
- Crack cocaine
- Amphetamines
- Pseudoephedrine
- Caffine
What are the drugs associated with the hallucinogenic toxidrom?
- PCP
- LSD
- Ketamine
- MDMA (Ecstasy)
What are the drugs associated with the cholinergic toxidrome?
- Organophosphates
- Insecticides
- Nerve agents
- Nicotine
- Eye medication
What are the drugs associated with hyponotics?
- Benzodiazepines
- Barbiturates
What is 80-100x more potent than morphine?
Fentanyl
What is 100x stronger than Fentanyl?
Carfentanil
True or False:
An adverse effect of a fentanyl overdose is chest wall rigidity
True
What are common drugs of the “party scene”?
- GHB
- Ketamine
- Rhohypnol
What are signs and symptoms of a GHB overdose?
- Slow RR
- Slow HR
- Pale, cool skin
- Vomiting
What drug has no known medication that can help reverse it?
Esctasy (MDMA)
What is the saying for a TCA overdose?
- Hot as a hare (hyperthermia)
- Dry as a bone (dry skin)
- Blind as a bat (dilated pupils)
- Red as a beet (flushed skin)
- Mad as a hatter (hallucinations)
