Narcotics

Barbiturates
Organophosphate
Stimulant
Benzodiazepine
100

What are some common narcotics? 

  • Opium
  • Heroin
  • Codeine
  • Oxycodone
  • Hydrocodone
  • Tramadol
  • Morphine
  • Hydromorphone
  • Fentanyl
  • Carfentanil
100

What are some examples of barbiturates? 

  • Phenobarbital
  • Amobarbital (Amytal)
  • Secobarbital (Seconal)
  • Butalbital
100

What does SLUDGE stand for

Salivation

Lacrimation

Urination

Defecation

GI

Emesis 

100

What are some common examples of stimulants?

  • Cocaine
  • Amphetamine
  • Meth
  • Crack
100

What are some common drugs under this category?

  • Xanax
  • Klonopin
  • Ativan
  • Valium
  • Ambien
  • Halicon
  • Lunesta
  • Phenibut
200

What are signs and symptoms of a heroin overdose?

  • Shallow breaths
  • Gasping for air
  • Very pale skin
  • Blue tint to the lips and fingertips
  • Pinpoint pupils
  • Discolored tongue
  • Weak pulse
  • Low blood pressure
  • Disorientation, delirium, or a changed mental state
  • Constipation
  • Spasms or seizures
  • Nausea or vomiting
  • Coma
  • Extreme drowsiness or an inability to stay awake
200

What are barbiturates used for?

 group of sedative-hypnotic drugs that can treat seizure disorder, neonatal withdrawal, insomnia, preoperative anxiety, and induction of a coma for increased intracranial pressure (ICP); and can even be used for anesthesia.1

200

What compounds are organophosphates found in? 

  • Insecticides – Malathion, parathion, diazinon, fenthion, dichlorvos, chlorpyrifos, ethion.
  • Nerve gases – Soman, sarin, tabun, VX.
  • Ophthalmic agents – Echothiophate, isoflurophate.
  • Antihelmintics – Trichlorfon.
  • Herbicides – Tribufos (DEF), merphos.
200

What are some common prescription stimulants? 

  • Ritalin
  • Adderall
  • Concerta
  • Dexedrine
  • Vyvanse
200

Signs and symptoms of an overdose

  • Slow or shallow breathing
  • Clammy skin
  • Low blood pressure
  • Enlarged pupils
  • Sluggish or depressed reflexes
  • A weak or rapid pulse
  • Bluish lips
  • Coma
  • Death
300

What medication do we use for opiate overdoses?

Narcan

300

Signs and symptoms of barbiturate intoxication

  • Altered or decreased consciousness
  • Coordination problems and muscle weakness
  • Clouded thinking
  • Lack of balance/vertigo
  • Nausea
  • Slurring of speech
  • Slow heart rate
  • Decreased urine output
300

What two medications are in a duodote?

Atropine

Pralidoxime 

300

What are some signs and symptoms of cocaine use?

  • Excitability
  • Dilated pupils
  • Runny nose
  • Weight loss
  • Nosebleeds
300

Mixing drugs is also referred to as:

Poly pharmacy 

400

What are the contraindications for Narcan?

None

400

Signs and Symptoms of barbiturate overdose

  • Shallow breathing
  • Clammy skin
  • Dilated pupils
  • Weak and rapid pulse
  • Respiratory failure
  • Coma
400

Once you have administered the duodote what is your next action. 

To get out of the environment and tape on the patient the duodote. 

400

What are some signs and symptoms of methamphetamine abuse?

  • Extremely high body temperatures that can result in fainting
  • Severe itching
  • Broken teeth and dry mouth, commonly referred to as “meth mouth” due to poor dental hygiene and nutrition associated with use of the drug
  • Cognitive issues
400

What does EMS mainly use benzodiazepines for? 

Treating seizures

Sedation 

500

What is the dose for Narcan?

0.5-2mg 

500

What are the signs and symptoms of withdrawal

  • Restlessness
  • Anxiety
  • Tremors
  • Low body temperature
  • Sweating
  • Insomnia
  • Anxiety
  • Seizures
500

You have got powder on your skin that you are guessing its an organophosphate what do you do?

Decontaminate yourself by brushing it off and rinsing with water for at least 20 minutes. 

500

People abusing stimulants can often ______ causing EMS concern for their safety. 

Hallucinate 

500

How would you treat a benzodiazepine overdose?

Support ABC's and treat for shock. Have ALS in route! Be prepared to suction if vomiting. 
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