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66 terms

NUR211_SA_Drugs

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abstinence
refraining from use of a chemical substance
addiction
state of chronic or recurrent intoxication characterized by psychological and physical dependence, including tolerance
blackout
amnesic episode i.e., period of time in which an individual is conscious and appears to behave normally, but for which the individual has no recollection (occurs with use of alcohol)
confabulation
behavioral response to memory loss in which the client "makes up" imaginary events and inappropriate words to fill in memory gaps
crashing
hunger and rebound depression which occurs after the initial pleasurable experience with amphetamines and suicidal ideation is also present)
detoxification
treatment modality used to decrease the symptoms of withdrawal from a chemical substance (e.g. alcohol or methadone detoxification) and gradually return the individual to a chemical substance free state
dual diagnosis
diagnosis of an individual with two disorders on Axis I of the DSM IV - a mental illness diagnosis and a substance abuse diagnosis (also known as MICA or mentally ill chemical abuser)
flashback
reoccurrence of visual distortions and/or intense emotional experiences similar to those occurring during a trip
intoxication
state achieved after ingestion of a chemical substance in sufficient quantities to produce vital signs and mental status changes
loss of control
(in alcoholism) the individual cannot control the amount of alcohol use on any given occasion, although s/he is not driven to drink (in other chemical substance use) the inability to stop using the drug
mainlining
taking chemical substances intravenously (e.g. narcotics or amphetamines may be injected)
narcotic (opiate) withdrawal syndrome
occurs when a physically dependent individual is deprived of the opioid drug tolerance
tolerance
state occurring when metabolic changes in tissue response to a chemical substance are diminished resulting in the need to increase the amount of drug used in order to obtain the desired effect. Long-term ,excessive tissue damage may eventually cause an inverse (opposite) effect where decreased amounts of the drug are needed to achieve
trip
unpredictable experience (may be good or bad) that occurs when a hallucinogen is taken
withdrawal
progressive predictable set of symptoms occurring when a drug is discontinued or a dose is reduced
withdrawal delirium
(formerly called delirium tremens) serious, potentially life threatening form of alcohol withdrawal
Use: Alcohol
Symptoms : Relaxation, loss of inhibitions, lack of concentration, drowsiness, slurred speech,sleep
Use: Barbiturates and nonbarbirurates)
Symptoms : Relaxation, loss of inhibitions, lack of concentration, drowsiness, slurred speech, sleep
Drug Classifications: CNS Stimulants
Amphetimines,Cocaine,Opiods,Hallucinigens,Cannabinols
Use: Amphetamines and related drugs
Symptoms : Hyperactivity, agitation, euphoria, insomnia, loss of appetite, DIALATED PUPILS,ELEVATED BP & PULSE
Use: Cocaine
Symptoms :Euphoria, hyperactivity, restlessness, talkativeness, increased pulse, DIALATED PUPILS, rhinitis, ELEVATED BP & PULSE, RISK FOR CARDIAC ARREST,DYSRHYTHMIAS
Use: Opioids
Symptoms : Euphoria, lethargy, drowsiness, lack of motivation, CONSTRICTED PUPILS
Use: Hallucinogens
Symptoms : FLASHBACKS, Visual hallucinations, disorientation, confusion, paranoid delusions, euphoria, anxiety, panic, increased pulse
Use:Cannabinols
Symptoms: Relaxation, talkativeness, lowered inhibitions, euphoria, mood swings
Therapeutic Use: Alcohol
Antidote for methanol consumption; ingredient in many pharmacological concentrates
Therapeutic Use: barbiturates and nonbarbirurates
Relief from anxiety and insomnia; as anticonvulsants and anesthetics
Therapeutic uses: Amphetamines and related drugs
Management of narcolepsy, hyperkinesia, and weight control
Therapeutic uses: Cocaine, heroin
no prescribed uses
Therapeutic uses: Opioids
As analgesics,antidiarrheals,and antitussives;in methadone substitution therapy
Therapeutic uses: Hallucinogens
LSD has been proposed in the treatment of chronic alcoholism and in the reduction of intractable pain.
Therapeutic uses: Cannabinols
Relief of nausea and vomiting associated with antineoplastic chemotherapy and to reduce eye pressure in glaucoma.
Overdose : Alcohol
OD can cause: Shallow respirations; cold clammy skin; weak, rapid pulse; coma; possible death, N/V
Overdose: barbiturates and nonbarbirurates
OD can cause:Anxiety, fever, agitation, hallucinations, disorientation, tremors,deliriurn, convulsions, possible death
Overdose : Amphetamines and related drugs
OD can cause:Cardiac arrhythmias, headache, convulsions, hypertension, rapid heart rate, coma, possible death
Overdose: Cocaine
OD can cause:Hallucinations, convulsions, pulmonary edema, respiratory failure, coma, cardiac arrest, possible death
Overdose: Opioids
OD can cause:Shallow breathing, slowed pulse, clammy skin, pulmonary edema, respiratory arrest, convulsions, coma,possible death
Overdose: Hallucinogens
OD can cause:Agitation, extreme hyperactivity, violence, hallucinations, psychosis, convulsions, possible death
Overdose: Cannabinols
OD can cause:Fatigue, paranoia, delusions, hallucinations, possible psychosis
Alcohol
Ethyl alcohol, beer, gin, rum, vodka, bourbon, whiskey, liqueurs, wine, brandy, sherry, champagne
Other (barbiturates and nonbarbirurates)
Seconal, nembutal, Amytal, Valium Librium, Noctec, Miltown
Amphetamines and related drugs
Dexedrine, Didrex, Tenuate, Prelu2, Ritalin, Focalin, Meridia, Provigil
Cocaine
Cocaine hydrochloride
Opioids
Heroin, Morphine, Codeine,,Dilaudid, Demerol, Dolophine,Percodan,Talwin,Opium
Hallucinogens
LSD,PCP,Mesaline,DMT,STp,DOM,MDN, LA, Ketamine
Cannabinols
Cannabis
Intoxication: Alcohol
Intoxication can cause: Aggressiveness, impaired judgment, impaired attention, irritability, euphoria, depression, emotional lability, slurred speech, incoordination, unsteady gait, nystagmus, flushed face
Intoxication: Amphetamines and related substances
Intoxication can cause:Fighting, grandiosity, hyper vigilance, psychomotor agitation, impaired judgment, tachycardia,DIALATED PUPILS, elevated blood pressure, perspiration or chills, nausea and vomiting
Intoxication: Cannabis
Intoxication can cause:Euphoria, anxiety, suspicious ness, sensation of slowed time, impaired judgment, social withdrawal, tachycardia, conjunctival redness, increased appetite, hallucinations
Intoxication: Cocaine
Intoxication can cause:Euphoria, fighting, grandiosity, hypervigilance, psychomotor agitation, impaired judgment, tachycardia, elevated blood pressure, PUPILLARY DIALATION, perspiration or chills, nausea/vomiting, hallucinations, delirium
Intoxication: Inhalants
Intoxication can cause:Belligerence, assaultiveness, apathy, impaired judgment, dizziness, nysngmus, slurred speech, unsteady gait, lethargy, depressed reflexes, tremor, blurred vision, stupor or coma, euphoria, irritation around eyes, throat, and nose
Intoxication: Opioids
Intoxication can cause:Euphoria, lethargy, somnolence, apathy, dysphoria, impaired judgment, PUPILLARY CONSTRICTION, drowsiness, slurred speech, constipation, nausea, decreased respiratory rate and blood pressure
Intoxication: Phencyclidine and related substances
Intoxication can cause:Intoxication: Belligerence, assaultiveness, impulsiveness, psychomotor agitation, impaired judgment, nysngmus, increased heart rate and blood pressure, diminished pain response, ataxia, dysarthria, muscle rigidity, seizures, hyperacusis, delirium
Intoxication: Sedatives, hypnotics, and anxiolytics
Intoxication can cause:Disinhibition of sexual or aggressive impulses, mood lability, impaired judgment, slurred speech, incoordination, unsteady gait, impairment in attention or memory, disorientation, confusion
Withdrawal: Alcohol
Withdrawal from can cause: SEIZURES, tremors, nausea/vomiting, malaise, weakness, tachycardia, sweating, elevated blood pressure, anxiety, depressed mood, irritability, hallucinations, headache, insomnia
Withdrawal: Amphetamines and related substances
Withdrawal from can cause:SEIZURES, anxiety, depressed mood, irritability, craving for the substance, fatigue, insomnia or hypersomnia, psychomotor agitation, paranoid and suicidal ideation
Withdrawal:Cannabis
Withdrawal from can cause:Restlessness, irritability, insomnia, loss of appetite
Withdrawal: Cocaine
Withdrawal from can cause:Depression, anxiety, irritability, fatigue, insomnia or hypersomnia, psychomotor agitation, paranoid or suicidal ideation, apathy, social withdrawal
Withdrawal: Opioids
Withdrawal from can cause:Craving for the drug, nausea/vomiting, muscle aches, lacrimation or rhinorrhea, PUPILARY DILATION, piloerection or sweating, diarrhea, yawning, fever, insomnia
Withdrawal: Sedatives, hypnotics, and anxiolytics
Withdrawal from can cause:Nausea/vomiting, malaise, weakness, tachycardia, sweating, anxiety, irritability, orthostatic hypotension, tremor, insomnia, SEIZURES
Withdrawal Comments:Alcohol
Withdrawal begins within 4-6 hr after last drink. May progress to "delirium tremens" on 2nd or 3rd day. Use of Lihrium or Serax is common for substitution therapy
Withdrawal Comments: Amphetamines and related substances
Withdrawal symptoms usually peak within 2-4 days, although depression and irritability may persist for months. Antidepressants may be used
Intoxication Comments: Cannabis
Intoxication ccurs immediately and lasts about 3 hours. Oral ingestion is more slowly absorbed and has longer lasting effects
Overdose comments: Cocaine
Large doses of the drug can result in convulsions or death from CARDIAC ARRHYTHMIAS or respiratory paralysis.
Intoxication Comments: Inhalants
Intoxication : occurs within 5 minutes; symptoms last 60-90 min. Large doses can result in death from central nervous system depression or cardiac arrhythmia.
Intoxication Comments: Phencyclidine and related substances
Delirium can occur within 24 hours after use of , or may occur up to a week following recovery from an overdose of the drug
Withdrawl comments: Sedatives, hypnotics, and anxiolytics
May progress to delirium, usually within 1 week of last use. Long-acting forms of the drug may he used in withdrawal substitution therapy