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49 Cards in this Set

  • Front
  • Back

Alcohol

cns depressent


absorbed rapidly


initial effects relaxation and loss of inhibitions


overdose fatal life threatening

Intoxication

slurred speach


unsteady gait


lack of coordination


impaired attention

Overdose

excessive alcohol iintake in a short period


vomiting


unconsciousness


respiratory depression


aspiration pneumonia


pulmonary obstruction



withdrawal

begins 4-12 hours after


withdrawal peaks at 2nd day and over in 5 days

Detox alcohol withdrawal is

life threatening


must be accomplished under medical supervision

Safe withdrawal alcohol

usually accomplished with admin of benzo

must be tapered


ciwa


long term effects of alcohol

cardiac myopathy


wernicke=korsakoff syndrome


hepatitis


cirhosis


ascites

Sedative/hypnotics/anxiolytics

includes all cns depressant drugs

sedative intoxication

slurred speech


lack of coordination


unsteady gait

benzo overdose

rarely fatal



benzo overdose sx

lethargy confusion


sx improve as drug is excreted

benzo treatment

gastric lavage


activated charcoal


saline cathartic


dialysis

Barbituates

can cause coma resp arrest cardiac failure and death


barb overdose life threatening

barb treatment

lavage dialysis


support resp and cardiac function

Sedative/hypnotics/anxiolytics withdrawal

onset 6 hrs to 1 week



Sedative/hypnotics/anxiolytics withdrawal sx

autonomic hyperactivity


hand tremor


insomnia


anxiety


nausea


psychomotor aitation

Detox

often accomplished by medically tapering over a period of days/weeks



tapering essential with barbituates

to prevent coma death that occur if D/C abruptly

Stimulants

include drugs that stimulate excite the cns


limited clinical use


high potential for abuse

Cocaine

highly addictive produces immediate feeling of euphoria

methamphetamine

very dangerous highly addictive causes psychotic behavior results in brain damage

stimulant intoxication

develops rapidly


high feeling


hyperactivity


hypervigilance


talkativeness


anxiety


grandiosity


hallucination


anger


fighting


imparied judgement

stimulant physiologic sx

tachycardia


increased bp


dilated pupils


chills

stimulant overdose

seizures coma


death Rare



stimulant treatment

antipspychotic meds


controls hallucinations


decreases bp


relieves nausea

Marijuana

most widely used illicit substance in the us

mj short term effects

lowers intraocular pressure


relieves nausea


promotes appetite



opioids

popular drug of abuse


desensitizes the user to both physiologic psychologic pain and induces sense of euphoria well being

opioids include

potent prescription analgesics and illegal substances

opioids overdose

life threatenin


overdose can lead to coma


respiratory depression


pupillary constriction


unconsciousness


death

opioid overdose tx

narcan

opioid withdrawal

anxiety


restlessness


aching back and legs


cravings for more opioids


not life threatening

opioids progressed withdrawal sx

nausea/vomiting diarrhea


dysphoria


lacrimation


rhinorrhea


sweating

opioid detox methadone

reduces sx to no worse than a mild case


used as replacement for opioids


dose is continuously decreased over 2 weeks

naltrexone opiate detox

blocks effects of opiates


may cause headache restlessness or irritability


take with food or milk

catapres opiate detox

suppresses opiate withdrawal sx


take bp before each dose

halucinogens

includes substances that distorts the users perception of reality and produce sx similar to psychosis ecstasy pcp

hallucinogens intoxication sx

anxiety


depression paranoid idealation


ideas of reference


fear of losing ones mind

hallucinogens physiologic sx

sweating


tachycardia


plpitations


blurred vision


tremors


lack of coordination

hallucinogens withdrawal

no withdrawal syndrome


can produce flashback



hallucinogens overdose

toxic reactions to hall primarily psychologic


overdoses do not occur

pcp toxicity

seizures


hypertension


hyperthermia


respiratory depression

hallucinogens detox

pcp: medication used to control seizures and bp


cooling devices


mehcanical ventilation


general treatment


support


isolation


physical restraings

inhalants

diverse group of drugs that include anesthetics nitrates and organic solvents

inhalants can cause

significant brain damage peripheral nervous system damage and liver disease

inhalant intoxification

dizziness


nystagmus


lack of coordination


slurred speech


unsteady gait


tremor


muscle weakness


blurred vision

inhalant significant behavioral sx

belligerence


aggression


apathy


imparied judgement


inability to function

inhalant overdose

anorexia


respiratory depression


vagal stimulation


dysrhythmias


death



Inhalant treatment

supporting resp cardiac functioning


cranberry juice given to excrete substance faster


no antidotes