DRUG ABUSE
OPIOIDS
• Heroin
• Methadone
• Morphine
• Fentanyl
• Percocet (oxycodone) Acetaminophen
• Percodan (oxycodone) ASA
• Opium
Opioid Overdose
→ Heroin accounts for high incident of abuse
→ Oral-Injection-Intravenously-Intranasal
→ Life threatening Respiratory Depression
→ CNS Depressant
SNS
◊ Hypotension (profound shock)
◊ Pulmonary Edema
◊ Respiratory Depression
◊ Euphoria
◊ Arousable Somnolence
◊ Nausea
◊ Pinpoint pupils
◊ Seizures………Coma
Treatment
□ A/W-Ventilatory
□ Circulatory Assistance
□ Naloxone (Narcan)
□ Methadone
Methadone/ Narcotic withdrawal
→ Long acting opioid similar to heroin in it properties.
→ Clinic must be licensed and counseling available.
→ Used to decrease criminal behavior and drug craving.
→ Patient must have been opioid dependent for 1 year and not have benefited
from drug free treatment.
→ Patient remains physically dependent but are free from uncontrolled,
compulsive, disruptive behavior.
DEPRESSANTS (SEDATIVE-HYPNOTICS)
• Anxiety-Insomnia-Stress
• Seizures & Alcohol withdrawal
• Orally…..can be diluted & injected
• Commonly referred to as downers
• Alcohol
, DEPRESSANTS (SEDATIVE-HYPNOTICS)
• Anxiety-Insomnia-Stress
• Seizures & Alcohol withdrawal
• Orally…..can be diluted & injected
• Commonly referred to as downers
• Alcohol
• Barbiturates
• Benzodiazepines
• Methaqualone
Depressant Overdose
→ Drowsiness staggering gait
→ Paradoxical excitability
→ Respiratory depression
→ Hypotension… Shock
→ Pupils fixed dilated
→ Coma can occur
Treatment
□ A/W
□ Ventilatory
□ Circulatory Assistance
□ Flumazenil
STIMULANTS
• Amphetamines
• Cocaine
• Methamphetamine
• Methylphenidates
• Caffeine
• Nicotine
• Sympathomimetics
• Elevated mood
• Improve task performance
• Suppress Appetite
• Prevent sleep
◊ Oral-Smoked-Injected-Nasal
Stimulants Overdose
→ Tachycardia
→ Increase BP
→ Agitation
→ Dilated pupils
→ Tremors
→ Psychosis/Paranoia/Hallucinations
→ Crash State
Treatment
□ A/W
□ Ventilatory
□ Circulatory Assistance
□ Supportive care
HALLUCINOGENS & OTHER COMPOUNDS
OPIOIDS
• Heroin
• Methadone
• Morphine
• Fentanyl
• Percocet (oxycodone) Acetaminophen
• Percodan (oxycodone) ASA
• Opium
Opioid Overdose
→ Heroin accounts for high incident of abuse
→ Oral-Injection-Intravenously-Intranasal
→ Life threatening Respiratory Depression
→ CNS Depressant
SNS
◊ Hypotension (profound shock)
◊ Pulmonary Edema
◊ Respiratory Depression
◊ Euphoria
◊ Arousable Somnolence
◊ Nausea
◊ Pinpoint pupils
◊ Seizures………Coma
Treatment
□ A/W-Ventilatory
□ Circulatory Assistance
□ Naloxone (Narcan)
□ Methadone
Methadone/ Narcotic withdrawal
→ Long acting opioid similar to heroin in it properties.
→ Clinic must be licensed and counseling available.
→ Used to decrease criminal behavior and drug craving.
→ Patient must have been opioid dependent for 1 year and not have benefited
from drug free treatment.
→ Patient remains physically dependent but are free from uncontrolled,
compulsive, disruptive behavior.
DEPRESSANTS (SEDATIVE-HYPNOTICS)
• Anxiety-Insomnia-Stress
• Seizures & Alcohol withdrawal
• Orally…..can be diluted & injected
• Commonly referred to as downers
• Alcohol
, DEPRESSANTS (SEDATIVE-HYPNOTICS)
• Anxiety-Insomnia-Stress
• Seizures & Alcohol withdrawal
• Orally…..can be diluted & injected
• Commonly referred to as downers
• Alcohol
• Barbiturates
• Benzodiazepines
• Methaqualone
Depressant Overdose
→ Drowsiness staggering gait
→ Paradoxical excitability
→ Respiratory depression
→ Hypotension… Shock
→ Pupils fixed dilated
→ Coma can occur
Treatment
□ A/W
□ Ventilatory
□ Circulatory Assistance
□ Flumazenil
STIMULANTS
• Amphetamines
• Cocaine
• Methamphetamine
• Methylphenidates
• Caffeine
• Nicotine
• Sympathomimetics
• Elevated mood
• Improve task performance
• Suppress Appetite
• Prevent sleep
◊ Oral-Smoked-Injected-Nasal
Stimulants Overdose
→ Tachycardia
→ Increase BP
→ Agitation
→ Dilated pupils
→ Tremors
→ Psychosis/Paranoia/Hallucinations
→ Crash State
Treatment
□ A/W
□ Ventilatory
□ Circulatory Assistance
□ Supportive care
HALLUCINOGENS & OTHER COMPOUNDS
