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Drugs of Abuse  from Opioids to Drugs of Abuse  from Opioids to

Drugs of Abuse from Opioids to - PowerPoint Presentation

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Drugs of Abuse from Opioids to - PPT Presentation

Methamphetamines By Christy Hicks Regional TEAP Specialist Atlanta Chicago and Dallas Regions This course is intended to give an overview of the most commonly abused drugs by Job Corps students ID: 998700

narcan schedule high abuse schedule narcan abuse high potential breathing drugs kratom substances effects drug naloxone physical substance seconds

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1. Drugs of Abuse from Opioids to MethamphetaminesBy: Christy HicksRegional TEAP SpecialistAtlanta, Chicago and Dallas Regions

2. This course is intended to give an overview of the most commonly abused drugs by Job Corps students.Objective 1: The audience will be able to discuss the regulation of drugs by the controlled substance act.Objective 2: The audience will be able to talk credibly with others about the drugs discussed in this webinar.Objective 3: The audience will be able to discuss mental and physical effects of each drug covered in this webinar.

3. The Controlled Substance ActThe Controlled Substance Act (CSA) places all substances which were in some manner regulated under existing federal law into one of the five schedules. The placement is based upon the substances medical use, potential for abuse, and safety or dependence liability. The Act also provides a mechanism for substances to be controlled or decontrolled.Proceedings to add, delete, or change the schedule of a drug or other substance may be initiated by the Drug Enforcement Administration (DEA), the Department of Health and Human Services (HHS) or by petition from any interested party.

4. Schedule ISubstances in this schedule have no currently accepted medical use in the United States, a lack of accepted safety for use under medical supervision, and a high potential for abuse.HeroinLSDMarijuanaEcstasy

5. Schedule IISubstances in this schedule have a high potential for abuse which may lead to severe psychological or physical dependence.OxycontinDemerolFentanylCodeineMorphineAdderallRitalinPhenobarbital Methamphetamine

6. Schedule IIISubstances in this schedule have a potential for abuse less than substances in Schedules I or II and abuse may lead to moderate or low physical dependence or high psychological dependence.Tylenol with Codeine (under 90 MG)SuboxoneAnabolic SteroidsKetamine

7. Schedule IVSubstances in this schedule have a low potential for abuse relative to substances in Schedule III.ValiumXanaxSomaKlonopinAtivan

8. Schedule VSubstances in this schedule have a low potential for abuse relative to substances listed in Schedule IV and consist primarily of preparations containing limited quantities of certain narcotics.Examples of Schedule V substances include: cough preparations containing not more than 200 milligrams of codeine per 100 milliliters or per 100 grams (Robitussin AC®, Phenergan with Codeine®).

9. Opiate/OpioidsNarcotic pain relivers, opium, opium derivatives and their semi-synthetic substitutes.Opiates OpioidsHeroin Hydrocodone (Vicodin)Morphine Oxycodone (Oxy Contin)Codeine Fentanyl Methadone Fentanyl Opana

10. Opiates/OpioidsWhere can youth obtain narcotics? FriendsFamilyMedicine Cabinets at homePrescriptionsNursing HomesHospitalsStreetInternet

11. Opiates/OpioidsCommon Street NamesSmackItHillbilly HeroinOXMudForms: Tablets, capsules, skin patches, powder, liquid, syrups, suppositories and lollipops.Taken: Swallowed, smoked, snorted, or injected.

12. Opiates/OpioidsOpiates give a general sense of well being, reduce tension, relaxation, anxiety and depression.Opiate unwanted feelings of drowsiness, inability to concentrate, apathy, slowed reaction, flushing of skin, constipation, nausea, vomiting and slowed breathing.Potential of Physical and Psychological Dependence is extremely high.

13. Opiate/ OpioidsWithdrawal:Watery eyesRunny noseYawningSweatingRestlessnessIrritabilityLoss of appetiteTremorsCravingsDepressionIncreased heart rate and blood pressurechills

14. Opiate/ OpioidsOverdose: High potentialConstricted pupilsCold clammy skinConfusion convulsionsExtreme downinessSlowed breathing

15. HeroinHeroin is the most rapidly acting of the opiates.Heroin comes from the poppy plant in Asia.Western US: Black Tar HeroinEastern US: White HeroinStreet Names: H, Black Tar, Horse, Smack, Thunder

16. HeroinWhite or brownish powder or black sticky substanceInjected, smoked, snortedHeroin has a high potential for physical and psychological dependenceHigh overdose potential

17. HeroinDrowsinessRespiratory depressionConstricted pupils NauseaA warm flushing of the skinDry mouthHeavy extremities

18. Opiate OverdoseHow to recognize an overdoseBlue or grayish lips and fingernails.Clammy, sweaty skin.Shallow or raspy breathing, snoring or gurgling sounds.Won’t wake up to yelling their name or to a sternum rub to the chest.If the person is just in a heavy nod, but is still conscious and breathing, make sure to stay with them, walk them around, keep them talking and moving.WATCH THEIR BREATHING!Someone can slip into an overdose hours after they get high.

19. Narcan/NaloxoneTake Action:Check to see if they can respondGive them a light shake, yell their name.If you cannot get a response, try a STERNUM RUB (rub your knuckles on their chest bone for about 5-10 seconds).

20. Narcan/NaloxoneCall 911Give address and locationSay: “a person is unconscious and I can’t wake him up” or “a person isn’t breathing.”

21. Narcan/NaloxoneGive Naloxone.Spray up one nostril.If you have the injectable Naloxone, inject into the muscle of the upper arm, upper thigh, or upper/outer quarter of the butt.Continue rescue breathing if they have not started on their own.Give a breath every 5 seconds for 3 minutes.Give second dose of Naloxone if there is no response after 3 minutes.Continue rescue breathing, one breath every 5 seconds.Administer CPR if person becomes pulseless.

22. Narcan/NaloxoneAfter NaloxoneRemind person Naloxone can wear off in 30-45 minutes.Lay them on their side.Stay with them until they go to the hospital or until the Naloxone wears off to make sure the overdose does not come back.DO NOT LEAVE THEM ALONE.

23. Narcan/NaloxoneRescue BreathingMake sure nothing is in their mouth.Tilt head back, pinch nose.Give a breath every 5 seconds for 30 seconds

24. Narcan/ NaloxoneOverdose Is Most Common When:Your tolerance is down due to not using whether you took a break, were in treatment, in jail or had cut down on your use.When you mix drugs, like downers, heroin, methadone, benzos/pills, and alcohol, or any combo of those.When you get stronger drugs than you are used to, if the supply changes, you go to a new dealer, or you are new in town.When you are alone, nobody is around to help if you go out.When you’ve been sick, tired, run down or dehydrated, your body cannot handle the drugs as well if it is not healthy and nourished.

25. Narcan/NaloxoneKnow your state laws related to administering Narcan/NaloxoneKnow what drug Narcan works forKnow what drugs Narcan does not work forMake sure to dial 911 for assistance

26. Narcan/ NaloxoneNarcan/ Naloxone does not work on:CocaineMethamphetamineKratomMarijuanaSynthetic MarijuanaValiumXanax

27. StimulantsStimulants speed up the body’s system.Stimulants:AdderallConcertaRitalinDexedrineDidrexFastinAdipexCocaineMethamphetamine

28. StimulantsStreet NamesBeeniesBlack BeautiesCatCokeFlakeIceSnowUppers

29. StimulantsForms:Pills, powders, rocks, injectable liquidSwallowed, smoked, snorted, and injectedStimulants increase heart rate and blood pressure, increased temperature, wakefulness, energy, weight loss, hallucinations and paranoia.

30. MethamphetamineMethamphetamine (Meth) is a stimulant. Mexican drug trafficking organizations have become the primary manufacturers and distributors of meth throughout the US. Currently, meth is mainly made with diverted products that contain pseudoephedrine. Street names: Black beauty, biker's coffee, chalk, crank, crystal, poor man’s cocaine, tweak.

31. MethamphetamineMeth typically is found in the form of a pill or powder. Crystal meth resembles glass fragments or shiny blue-white rocks.Meth is swallowed, snorted, injected, or smoked.High potential for abuse and dependenceEffects: when injected a rush and intense sensation; when taken orally or snorted there is more of a long lasting high. Increased wakefulness, increased physical activity, decreased appetite, rapid breathing and heart rate, over heating and high blood pressure.Unwanted effects: violence, anxiety, confusion, aggression, visual and auditory hallucinations and mood disturbances.

32. MethamphetamineHigh doses may result in death from stroke, heart attack, or multiple organ problems caused by overheating.Similar to cocaine

33. KratomKratom is a tropical tree (Mitragyna speciosa) native to Southeast Asia, with leaves that contain compounds that can have psychotropic (mind-altering) effects. Kratom is not currently an illegal substance and has been easy to order on the internet. It is sometimes sold as a green powder in packets labeled "not for human consumption. It is also sometimes sold as an extract or gum.

34. KratomKratom was banned in the following states:AlabamaArkansasIndianaTennesseeVermontWisconsinWashington, DCDenverSan DiegoFlorida

35. KratomMost people take kratom as a pill, capsule, or extract. Some people chew kratom leaves or brew the dried or powdered leaves as a tea. Sometimes the leaves are smoked or eaten in food.Kratom can cause effects similar to both opioids and stimulants, interact with opioid receptors in the brain, producing sedation, pleasure, and decreased pain, especially when users consume large amounts of the plant. Kratom also interacts with other receptor systems in the brain to produce stimulant effects.

36. KratomWhen kratom is taken in small amounts, users report increased energy, sociability, and alertness instead of sedation. However, kratom can also cause uncomfortable and sometimes dangerous side effects.

37. BenzodiazepinesBenzodiazepines and depressants that produce sedation, induce sleep, relieve anxiety, muscle spasms, and prevent seizures.Benzodiazepines are only legally available through prescription. Street names: Benzo’s and downers

38. BenzodiazepinesBenzos: XanaxValiumHalcionAtivanKlonopinVersedUsed for: sedation, decreased anxiety, anesthesia, and anticonvulsants.

39. BenzodiazepinesTaken: orally, crushed, snorted, and injected.Overdose/ Non desired effects: shallow respiration, clammy skin, dilated pupils, weak and rapid pulse, coma and possible death.Benzos are like alcohol, barbiturates, sleeping pills, and GHB.

40. ResourcesNIDA- National Institute of Drug Abusehttp://www.drugabuse.govLatest Science ResearchTrends and staticsLooking for Treatment- SAMHSA Treatment finderDrugs of abusePublications

41. ResourcesSAMHSA- Substance Abuse and Mental Health Services Administrationhttps://www.samhsa.govResourcesTreatment FinderTrainingGrantsDataProgramsPublications

42. ResourcesJob Corps Health and Wellness Websitehttps://supportservices.jobcorps.gov/Health/Pages/default.aspxTEAP Desk reference guideWebinars and trainingForms and documentsResourcesGuidance

43. Questions/ Comments????