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Term 2 Drugs > Substance Abuse > Flashcards

Substance Abuse Flashcards

1
Q

Stimulants Vital Signs

cocaine, crack
amphetamines
methylphenidate
phenylpropanolamine
ephedrine 
phenmetrazine
A

Heart rate increased
Blood pressure elevated
Respirations increased
Temperature elevated.

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2
Q

Stimulants PE

cocaine, crack
amphetamines
methylphenidate
phenylpropanolamine
ephedrine 
phenmetrazine
A 
Pupils dilated and reactive to light
Hyperactive deep tendon reflexes
Cardiac arrhythmias
Convulsions, stroke
Dry mouth, sweating, tremors,  
Bruxism, twitching, flushing
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3
Q

Stimulants Mental Status

cocaine, crack
amphetamines
methylphenidate
phenylpropanolamine
ephedrine 
phenmetrazine
A

Hyperacute sensorium, confusion
Behavioral disinhibition, impaired judgment
Paranoid ideation, agitation, hypervigilance
Delirium, impulsivity
Hyperactivity, elation
Hallucinations
Depression, suicidal behavior

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4
Q

Stimulants Withdrawals

A

sometimes suicidal

Increased sleep
Increased appetite
Anxiety, lack of energy
Craving, dysphoria

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5
Q

opioid vital signs

heroin
morphine
meperidine
codeine
opium
oxycodone
hydrocodone 
methadone
propoxyphene
hydromorphone
fentanyl
butorphanol
pentazocine
A

Respiration decreased,
blood pressure decreased,
temperature decreased.

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6
Q

opioid PE

heroin
morphine
meperidine
codeine
opium
oxycodone
hydrocodone 
methadone
propoxyphene
hydromorphone
fentanyl
butorphanol
pentazocine
A 
Pupils constricted (may be  dilated with
meperidine or extreme hypoxia)
Pulmonary edema, cardiac arrhythmias
Reflexes diminished to absent
Convulsions with meperidine or propoxyphene
 Coma
Injection marks ("needle tracks")
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7
Q

opioid mental status

heroin
morphine
meperidine
codeine
opium
oxycodone
hydrocodone 
methadone
propoxyphene
hydromorphone
fentanyl
butorphanol
pentazocine
A

Euphoria, sedation,
Possible normal mood,
Possible stupor

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8
Q

opioid withdrawal

heroin
morphine
meperidine
codeine
opium
oxycodone
hydrocodone 
methadone
propoxyphene
hydromorphone
fentanyl
butorphanol
pentazocine
A

not life threatening

Tachycardia, hypertension
Restlessness, irritability
Lacrimation, rhinorrhea
Pupillary dilatation, fever,
Nausea, vomiting, diarrhea
Piloerection (gooseflesh),
Muscle and bone pain
Insomnia, craving,
Frantic activity to obtain drug
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9
Q

sedative vital signs

Benzodiazepines
lorazepam
diazepam
alprazolam
oxazepam
clonazepam
triazolam
flurazepam
temazepam
chlordiazepoxide
Barbiturates
butabarbital
butalbital
phenobarbital
secobarbital 
pentobarbital

Others
chloral hydrate
meprobamate
methaquaalone

A

Minimal changes except for

Decreased respirations with non-benzodiazepines

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10
Q

sedative physical exam

Benzodiazepines
lorazepam
diazepam
alprazolam
oxazepam
clonazepam
triazolam
flurazepam
temazepam
chlordiazepoxide
Barbiturates
butabarbital
butalbital
phenobarbital
secobarbital 
pentobarbital

Others
chloral hydrate
meprobamate
methaquaalone

A

Slurred speech, ataxia, incoordination
Confusion, stupor
Coma
Respiratory depression (with non-benzodiazepines)

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11
Q

sedative mental status

Benzodiazepines
lorazepam
diazepam
alprazolam
oxazepam
clonazepam
triazolam
flurazepam
temazepam
chlordiazepoxide
Barbiturates
butabarbital
butalbital
phenobarbital
secobarbital 
pentobarbital

Others
chloral hydrate
meprobamate
methaquaalone

A

Slurred speech, confusion
Impaired concentration
Impaired judgment
Delirium, coma

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12
Q

sedative withdrawal symptoms

Benzodiazepines
lorazepam
diazepam
alprazolam
oxazepam
clonazepam
triazolam
flurazepam
temazepam
chlordiazepoxide
Barbiturates
butabarbital
butalbital
phenobarbital
secobarbital 
pentobarbital

Others
chloral hydrate
meprobamate
methaquaalone

A 
Mild:
Anxiety, restlessness, agitation
Nausea, vomiting, insomnia,
Hypertension, tachycardia, tremor
 Weakness, hyperreflexia
Sensory hypersensitivity
Dizziness, confusion
Depression, fatigue
Severe:  (may be lethal)
Autonomic hyperactivity
Vital sign instability
Cardiac arrhythmia
Seizures
Delirium
Delusions, hallucinations
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13
Q

cannabis vital signs

Marijuana
Hashish
THC
Dronabinol

A

Increased respiratory rate
Increased heart rate
Mild increase in temperature

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14
Q

cannabis PE

Marijuana
Hashish
THC
Dronabinol

A 
Conjunctival injection (red eyes)
Mild pupillary dilatation
Mild tremor, decreased coordination
Decreased strength
Decreased ability to perform complex motor tasks
Dry mouth
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15
Q

cannabis mental status

Marijuana
Hashish
THC
Dronabinol

A 
Depersonalization, anxiety, panic,
Memory problems, alteration in mood
Confusion, disorganization
Poor judgment
Delusions (paranoid), hallucinations
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16
Q

cannabis withdrawal

Marijuana
Hashish
THC
Dronabinol

A 
Irritability, restlessness
Anorexia
Insomnia
Nausea, diarrhea,
Muscle twitching, , sweating
Distractibility, inattention
Craving
17
Q

hallucinogens- LSD group vital signs

LSD
Psilocybin
Mescaline
DOM (STP)
DMT
A

Elevated blood pressure
Increased heart rate, elevated
temperature with possible hyperthermia

18
Q

hallucinogens- LSD group physical exam

LSD
Psilocybin
Mescaline
DOM (STP)
DMT
A

Increased reflexes, tremors
Weakness, flushing and chills
Seizures (rare); occasional nausea and vomiting
Piloerection (gooseflesh)

19
Q

hallucinogens- LSD group mental status

LSD
Psilocybin
Mescaline
DOM (STP)
DMT
A 
Inappropriate affect, elation
Hallucinations, bizarre behavior, delusions
Disorientation, impaired judgment
Unusual behavior and appearance
Depression, confusion
20
Q

hallucinogens- LSD group withdrawal

LSD
Psilocybin
Mescaline
DOM (STP)
DMT
A

none

21
Q

hallucinogens- MDMA vital signs

A

elevated heart rate,
hypertension progressing to hypotension,
possible malignant hyperthermia

22
Q

hallucinogens- MDMA physical exam

A

tremor, hypertonicity of muscles,

nausea, decreased appetite, sweating,

23
Q

hallucinogens- MDMA mental status

A

elation, inappropriate affect,

poor judgment,

24
Q

hallucinogens- dissociatives vital signs

PCP (Phencyclidine
Ketamine (“Special K”)
Dextromethorphan
“Robo-tripping”)

A

Initial increased respiration, later decreased
Mild to severe blood pressure elevations
Normal to moderate temperature elevations
Possible malignant hyperthermia.

25
Q

hallucinogens- dissociatives vital signs

PCP (Phencyclidine
Ketamine (“Special K”)
Dextromethorphan
“Robo-tripping”)

A

Conjunctival injection, prominent nystagmus
Possible coma (eyes open), seizures, stroke
Muscle rigidity, increased reflexes, repetitive movements
Flushing, lacrimation, salivation, sweating
Nausea, vomiting

26
Q

hallucinogens- dissociatives vital signs

PCP (Phencyclidine
Ketamine (“Special K”)
Dextromethorphan
“Robo-tripping”)

A

Abnormal appearance and behavior, inappropriate affect
Disorientation, memory problems, confusion
Elation or depression, impaired judgment
Hallucinations, delusions
Suicidal or homicidal behavior

Term 2 Drugs (6 decks)

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