PSY 242 Lecture Notes - Lecture 16: Opioid Overdose, Delirium Tremens, Substance Abuse
Document Summary
Substances of abuse (dr. josh hersh) (chapter 11: opioids, high addictive potential; originally used ~4,000 b. c. Includes the street drugs heroin and krokodil (desomorphine) Mental effects: euphoria, slowed movement, sedation, pain-killing effects and calmness. Physical effects: bradycardia, low body temperature, pinpoint pupils, slurred speech, low blood pressure, and constipation: toxicity. Overdose (deaths now outnumber motor vehicle accidents) Unsterile syringes: aids, hepatitis, sbe, malaria, tetanus, localized infections, pulmonary infiltration of contaminants, neuropathies. Krokodil and gangrene look similar: treatment of acute toxicity. Naloxone (narcan) is an opioid antagonist used to block the actions of opioids in a life-threatening situation of opioid overdose. Project dawn in ohio trains family members and friends to administer naloxone: acute opioid withdrawal. Most uncomfortable withdrawal syndrome of all drugs of abuse. Not life threatening, no convulsions, no delirium, no disorientation. Time of onset depends on half-life of drug. Middle stage --> pupils dilated, increased pulse rate, yawning, chills, running nose, tearing, gooseflesh,