opiates and opioids are its derivatives. Natural alkaloids derived of opium are generally called opiates, whereas opioids (opium-like) can be either natural or synthetic. The most common known opioids are morphine, codeine, fentanyl, hydrocodone, oxycodone, etc. (Vallejo et al., 2011, page E348 - E355) 2. Classification Opioids can be categorized in different way according to distinct criteria. a. Based on the nature of alkaloids Opioids are classified into naturally occurring alkaloids and…
Among the factors thought to contribute to initial heroin use is prescription drug dependence. Reliance on pain medication (in the form of Oxycodone or Vicodin) causes subsequent drug dependence, but, due to the economic and legal issues involved in the acquisition of prescription pain medication, heroin is substituted as an inexpensive more accessible alternative (Draus et al., 2006). Opiate pain medications cost, on average, $1 per milligram, and the typical dose is 60 mg. As a result, one…
their first times in their life such as underage adults it can have a serious effect or can cause death in their future. There are many pain killers that are so addicting that they can kill you. The first kind of painkillers that are deadly are oxycodone. This type of painkiller that is made up of oxycontins in which any person can buy off the streets. Another type of painkiller that is deadly is meperidine..This drug is made up of demerol, which doctors have access to give to underage patients…
DOI: 11/5/2011. Patient is a 65-year-old female certified nursing assistant who sustained injury when she slipped and fell while giving patient a bath, hitting her left knee and hip and injuring her low back. The patient underwent complex revision left total knee arthroplasty on 10/27/2015 and also undergone left knee arthroscopic capsular release and left knee manipulation under anesthesia on 1/22/2016. Based on the medical report dated 11/10/16 by Dr. Fieser, the patient presents for left…
Review of the medical record indicates that on August 8/14 she twisted her ankle and sustained an opened left distal fracture and had undergone an ORIF. The site became infected and the wound was surgical debrided and she started on IV antibiotic for osteomyelitis. Other medical history includes obesity, thyroid disease, congenital heart disease, HTN, bilateral PE May 2014, protein losing enteropathy, pleural effusion, , lower extremity cellulitis, Pseudomonas infection, acquired spastic…
indicating he understood his rights. 31. Coyle admitted that he routinely consumed Oxycodone at least three times a week. When asked if he reached within the rear compartment of the vehicle prior to the stop, Coyle stated he could not remember. When asked if he put anything in the white backpack on the front passenger side floor, Coyle stated, “Um…I cannot speak to that.” When shown the black pouch that contained the Oxycodone pills, Coyle said, “to my knowledge? No that is not mine.” When…
Patient is a 42-year-old male who presented to the ED with an alleged overdose on 50-60 prescribe pills of 450mg PO Daily Trileptal. Patient stated: "I took pills because I was having mood swings." Step- father brought patient into the ED. At the time of assessment, patient endorses feeling suicidal without a plan. Patient reports not being able to go see his son as the primary factor contributing to his current distress. When confronted about admitting being suicidal and taking medication to…
On this date worker visited Burns Nursing Home located in Russellville Alabama, for the purpose of assessing Ms. Taylor's need for services. When worker arrived Ms. Taylor was alert and aware of surroundings eating lunch. Worker introduced herself and explained the reason for the visit. Ms. Taylor admitted to her sons yelling at sometimes but not in a threatening way but joking around. Ms. Taylor stated, "My boys wait on be hand and foot, if around." When questioned about her sons, Timmy and…
There were decreased ROM and positive spasms. SLR was positive. The sensation to touch was decreased at the right L4, L5 and S1 nerve root distributions. Treatment plan included continuation of Carisoprodol, Cymbalta, Omeprazole, Docusate sodium and Oxycodone. The follow-up was in 1…
fentanyl suppliers ship the drug to Mexico where it is smuggled into the United States and Canada. Fentanyl is disguised to look like other drugs. “One of the truly terrifying things is the pills are pressed and dyed to look like oxycodone,” said Rendon. “If you are using oxycodone and take fentanyl not knowing it is fentanyl, that is an overdose waiting to happen. Each of those pills is a potential overdose death.” (https://www.statnews.com/2016/04/05/fentanyl-traced-to-china) This is why the…