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what are some exapmles of CNS depressants

barbiturates, benxo, dhloral hydrate, glutehimide, meprobamate ETOH

what are some physical intoication effects with CNS depressants

slurred speech, incoordination, unsteady gait, dreowsiness, decreased blood pressur

what are some psychological perceptual effects of CNS depressants

disinhibiton of sex drive or aggressive sex drive
impaired judgment
impaired social or occupational function
impaired attention or memory

what are some OD effects of CNS depressants

Cardio or respiratory depression or arrest

what are some possible treatments of OD

if awake, keep awake
induce vomiting
give activated charcoal for absorption of drug
check vs q 15
if COMA:
clear airway
IV fluids
gastric lavage with activated charcoal
frequent vs checks
sizure precations
hemodialysis or pertoneal dialysis
Give romazicon IV

what are some withdrawal effects of CNS depressants

N/v, tachycardia, diaphoresis, aniety or irritablility, tremors in hands, fingers eyelids, marked insomnia, seziures, delirium

what are some WD treatments of CNS depressants

perform carefully titrated detoxification with similar drug ABRUPT withdrawal can lead to death

what are some examples of CNS stimulants

cocaine and amphetamines

what are some intoxication effects of CNS stimulants cocaine

tachycardia, dilated pupils, elevated BP N/V, insomnia, assaultivenss, gradiosity, impaired judgment, impaired social and occupational functioning, ephoria

what are some intociation effects of amphetmines

increased energy, incrased wakefulness, increased respiration, increased hyperthermia, euphoria, paranoid schizophrenia, delusion, psychosis, hallucination severe to panic level anxiety, potential violence
Paranoia may presist for months afterwards

what are some OD effects of stimulants

respiratory destress, ataxia, hyperpyrexia, convulsions, coma stroke, MI, death

what are some possible treatmetns of OD stimulants

antipsychotic medication, nursing management for convulsion (diazepam), hyperprexia, respiratory distress, cardiovascular shock, acidification of vrine,

What are some WD effects of stimulants

fatigue, depression, agitation, apathy, anxiety, sleepiness,disorientation, lethargy,cravings

whar are possible WD treatments of stimulants

antidepressants (desipramine) dopamine agonist (dromocriptine)

what are some examples of opiates

opium, heroin, demerol, MS, codeine, methadone, hydromorphoine (dilaudid), fetnanyl, fentanyl analogues

what are some intoxication effects of opiates

constrictued pupils, decreased resp, drowsiness, decreased bp, slurred speech, psychomotor retardation, intial euphoria followed by dysphoria nad impairment of attention, judgment, and memory

what are some signs of OD of opiates

possivle dilation of pupils as a result of anoxia, respiratory depression or arrest, cardiac arrest or death, coma, shock, convulsions, death

what are some possible treatments of opiate OD

naloxone (narcaon to quicly reverse CNS depression

what are some WD effects of opiates

yawning, insomnia, irritablility, runny nose, panic, diaphoresis, cramps, n/v, muscle aches "bone pain", chills, fever, lacrimation, diarrhea

what are some WD treatments for opiates

methadone tapering, clonidine-naltrexone for detoxification, buprenorphine substitution

what are some examples of Hallucinogens

LSD. mescaline (peyote), psilocybine

intoxication effects of hallucinogens LSD

pupil dilation, tachycardia, diaphoresis, palpitations, tremors, incoordination, elevated temperture, pulse and respiration
fear of going crazy, paranoid ,anxiety , depresison, synethesia (hearing colors and seeing words), depersonalization, hallucination, grandiosity

intoxication effects of PCP

nystagmus, incrased vs, ataxia, muscle rigidity, sezures, blank stare, jerking, agitated repetitive movements, belligerence, assaultiveness, impulsiveness, impaired judgment, impaired social and occupational functioning, hallucinations, paranoia, bizarre behavior, regressive behavior, very labile

what are overdose effects of hallucinogens

LDS psychosis brain damage, death
PCP psychosis, hypertensive crisis, respiratory arrest, hyperthermia, seizures

what are some treatments of OD LSD

deep patient in room with low stimuli
stay with patient
reassurm patient "talk down"
speak slowly and clearly in low voice
give diazepame or chloral hydrated for extreme anxiety or tension

what are some treats of OD PCP

caution with use of gastric lavage becasue can cause laryngeal spasame or aspirtion
cramberry juice or ascoric acid to help excrete out of body
put in room with minimual stimuli
DO NOT talk down, speak slwly, clearly and in low voice
adminsiter diazepam
haloperidol may be used for sever behavioral disturbance
medical treatment of hyperthermia, resp distress, high BP,

what are some examples of inhalants

solvents, gases, nitrates

intoxication effectsof inhalants

similar to alcohol slurred speech, lack of inhibition, drunkeness, violent behavior

what are some OD effects of inhalants

liver and brain damage
heart failure
resp arrest
coma death

what are some treatments of inhalants

support affected system, neurological symptoms may respond to vit B12 and folate

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