description
When is a person considered to have a Substance Use Disorder
when their use of the substance interferes with their ability to fulfill role obligations, such as at work, school, or home
What are two symptoms we see with patients experiencing opiate withdrawal?
Vomiting, diaphoresis (sweating), mydriasis (dilated pupils), goosebumps, abdominal pain, muscle cramps
Can a stressful home/work life create an increased risk for substance use disorder?
Yes, a stressful home & work life can increase a person's chance for developing substance use disorder.
List two nonpharmacological interventions for OUD.
Detox, Cognitive Behavioral Therapy, Motivational Enhancement Therapy (MET), Support Groups, Residential Treatment Programs, Outpatient Treatment Programs, Family Treatment, Holistic Approaches
4 methods of administration for opioids?
PO, Snort, Smoked, injected
Name TWO opioids
oxycodone, morphine, fentanyl, hydromorphone, heroin
Will pupils be constricted or dilated in a patient experiencing opioid overdose?
Pupils will be dilated in case of overdose due to anoxia. Constricted pupils are seen with opioid intoxication, not overdose.
True or false: Having a mental health disorder does not put you at a higher risk for developing substance abuse.
False, mental health disorders in patients can increase their risk for developing substance use disorder
How is Buprenorphine effective in managing OUD
Minimizes withdrawal symptoms
Three methods that opioids are typically injected
IM, SubQ, IV
List FOUR classes of psychoactive substances
Alcohol, caffeine, cannabis, hallucinogens, inhalents, opioids, sedative-hypnotics, stimulants, tobacco
What are two signs of an opioid overdose?
Slow/absent breathing, dizziness, can’t be woken up/not moving, cold & clammy skin, discoloration of lips and nails, choking, dilated
True or false: Genetics play a role in developing substance addiction.
True- genetic makeup and biological factors can increase a person's risk for substance abuse
Reduces craving and withdrawal, full agonist. Used for maintenance therapy or substitution therapy
2 street names for Oxycodone
Oxy, OC, Perks
Why are opiates used in medical practice?
Moderate to severe pain relief / anesthesia
What should you do if you come across a person you suspect had an opioid overdose?
Give one breath every three seconds & administer naloxone (Narcan) if you have it
What is a major factor surrounding high-school age children that would increase their risk for developing substance abuse disorder?
Peer influence, academic failure, low social status
Does Naloxone act as an agonist, partial agonist or antagonist to the opioid receptors in the brain?
antagonist
What can heroin smell like?
odorless, or acidlike vinegar
List ONE Schedule I and ONE Schedule II opiate
I : oxy, morphine, fentanyl, hydromorphone. II : heroin
What vital signs would the nurse expect in a patient experiencing opioid intoxication? Select all that apply.
Respiratory rate of 24
Pulse oximetry of 97% on room air
Blood pressure of 92/58
Respiratory rate 6
Temperature of 98.6℉
Correct answer: C & D, we see a decreased RR & BP with opioid intoxication
During what stage of school does academic failure increase a person's risk for developing substance use disorder?
Elementary School
Middle School
High School
College
Correct Answer: Academic failure in late elementary school increases a person’s risk for developing substance use disorder.
How does Clonidine affect OUD?
Decreases symptoms of opioid withdrawal autonomically
2 street names for Fentanyl
Apache, China girl, Goodfella, Jackpot