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9 Cards in this Set

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What do alpha-adrenergic and beta-adrenergic drugs do (reduce it to the ridiculous)
A-adrenergic = increases arterial tone

B-adrenergic = increases heart rate
What is a cardiovascular complication of stim/amph use?
Dilated cardiomyopathy. REDUCED ventricular fxn.

BUGS! formigation. Stimulant withdrawals?
Would you treat a coked up patient with B-blockers?
DEPENDS ON WHAT IS WRONG WITH THEM

IF MYOCARDIAL INFARCT THEN NO! Because this could result in alpha-adrenergic system to be unopposed (creating a sharp increase in BP)

IF AORTIC DISSECTION, THEN YES! Slow heart rate so that less blood is spilling out into the intima.
What are the two pathways to intracranial hemorrhages in cocaine use?
Anuerysm --> Subarachnoid bleed

Hypertensive --> Intracerebral bleed
Can cocaine use lead to muscle breakdown?
YES! Hypermetabolic state.
What is GHB used for?
Liquid ecstacy! Narcolepsy.
What is the biggest risk of death in opioid users?
CNS depression, particularly in the brainstem, dealing with cardiorespiratory centers. Hypoxic drive is decreased. pCO2 is less sensitive.
What is the BIGGEST RISK for transmitting Hepatitis C?
Intravenous DRUG USE! IDU!

DO NOT SAY SEX FOR HEP C!

DO NOT DRINK WITH HEP C B/C CAN LEAD TO CIRRHOSIS
What is the biggest bacterial risk for contamination in IDU?

What can it lead to?
STAPH AUREUS!

ENDOCARDITIS! Bacteria get to heart and start chewing away at valves primarily. Usually identified as L-sided heart murmor.

TREAT WITH IV ANTIBIOTIC AND POTENTIAL VALVE REPLACEMENT