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24 Cards in this Set
- Front
- Back
Most commonly abused in health care professionals
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Heroin, morphine, oxycodone, meperidine and fentanyl
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This route is associated with rapid tolerance and psychologic dependence
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IV administration
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Leads to respiratory depression progressing to coma and death
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Overdose of opioids
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Lacrimation, rhinorrhea, yawning, sweating, weakness, gooseflesh, nausea, and vomiting, tremor, muscle jerks, and hyperpnea are signs of this syndrome
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Abstinence syndrome
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Treatment for opioid addiction
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Methadone, followed by slow dose reduction
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This agent may cause more severe, rapid and intense symptoms to a recovering addict
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Naloxone
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Sedative-Hypnotics action
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Reduce inhibition, suppress anxiety, and produce relaxation
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Additive effects when Sedative-Hypnotics used in combination with these agents
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CNS depressants
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Common mechanism by which overdose result in death
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Depression of medullary and cardiovascular centers
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"Date rape drug"
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Flunitrazepam (rohypnol)
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The most important sign of withdrawal syndrome
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Excessive CNS stimulation (seizures)
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Treatment of withdrawal syndrome involves
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Long-acting sedative-hypnotic or a gradual reduction of dose, clonidine or propranolol
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These agents are CNS depressants
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Ethanol, Barbiturates, and Benzodiazepines
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Withdrawal from this drug causes lethargy, irritability, and headache
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Caffeine
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W/D from this drug causes anxiety and mental discomfort
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Nicotine
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Treatments available for nicotine addiction
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Patches, gum, nasal spray, psychotherapy, and bupropion
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Chronic high dose abuse of nicotine leads to
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Psychotic state, overdose causes agitation, restlessness, tachycardia, hyperthermia, hyperreflexia, and seizures
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Tolerance is marked and abstinence syndrome occurs
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Amphetamines
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Amphetamine agents
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Dextroamphetamines and methamphetamine
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These agents are congeners of Amphetamine
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DOM, STP, MDA, and MDMA "ecstasy"
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Overdoses of this agent with powerful vasoconstrictive action may result in fatalities from arrhythmias, seizures, respiratory depression, or severe HTN (MI and stroke)
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Cocaine "super-speed"
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Most dangerous of the currently popular hallucinogenic drugs, OD leads to nystagmus, marked hypertension, and seizures, presence of both horizontal and vertical nystagmus is pathognomonic
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PCP
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Removal of PCP may be aided
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Urinary acidification and activated charcoal or continual nasogastric suction
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THC is active ingredient, SE's include impairment of judgment, and reflexes, decreases in blood pressure and psychomotor performance occur
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Marijuana
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