North Dakota Nurses Association Drugs North Dakota Nurses Association October 7th, 2016 8/1/2018
Purpose To improve your ability to recognize persons who may be impaired by drugs Drug ID 8/1/2018
What is a “drug”? 8/1/2018
Working Definition of “Drug” Any substance which, when taken into the human body, can impair the ability of the person. 8/1/2018
What are the drug classifications What do these drugs look like DRUG ID What are the drug classifications What do these drugs look like 8/1/2018
Central Nervous System Depressants Alcohol Rohypnol Valium/Xanax GHB - Gamma-hydroxybutyrate 8/1/2018
8/1/2018 Drug use/Baranyai
Central Nervous System Stimulants Cocaine Amphetamines Methamphetamine 8/1/2018
8/1/2018
Central Nervous System Stimulants Cocaine Amphetamines Methamphetamine 8/1/2018
8/1/2018 Drug use/Baranyai
Indicators of CNS Stimulant Impairment General Indicators Eye Indicators Restlessness, Excitation Talkative Euphoria Exaggerated Reflexes Anxiety Grinding Teeth Redness to Nasal Area Runny Nose Body Tremors No Nystagmus Pupils will be noticeably dilated
8/1/2018 Drug use/Baranyai
8/1/2018 Drug use/Baranyai
Signs & Behaviors - Meth Aggression Agitation Excited speech Inability to stay still Paranoia Dilated pupils Confusion Nervousness Insomnia or falling asleep while you are talking to them Chemical burns 8/1/2018
Meth – From this to this! 8/1/2018
8/1/2018 Drug use/Baranyai
Different Color and forms 8/1/2018
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Hallucinogens LSD Peyote MDMA (Ecstasy) 8/1/2018
Transposing of the Senses Synesthesia Transposing of the Senses “Seeing Sounds” “Hearing Colors” 8/1/2018
Indicators of Hallucinogen Impairment General Indicators Eye Indicators No Nystagmus Pupils will be noticeably dilated Hallucinations Dazed Appearance Disoriented, Uncoordinated Body Tremors Perspiring Paranoia Difficulty in Speech Nausea Piloerection (goose bumps) 303
8/1/2018
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Dissociative Anasthetics Ketamine PCP Analogs 8/1/2018
8/1/2018
Narcotic Analgesics Heroin Morphine Codeine Synthetic Opiates (e.g., Demerol, Methadone, Fentanyl) 8/1/2018
Synthetic Opiates (e.g., Demerol, Methadone) Narcotic Analgesics Heroin Morphine Codeine Synthetic Opiates (e.g., Demerol, Methadone) 8/1/2018
Indicators of Narcotic Analgesic Impairment General Indicators Eye Indicators No Nystagmus Pupils will be constricted “On the Nod” Droopy Eyelids Depressed Reflexes Dry Mouth Facial Itching Low, Raspy Speech Possible Puncture Marks, “Tracks”
8/1/2018 Drug use/Baranyai
8/1/2018 Drug use/Baranyai
Inhalants Toluene Glue Paint 8/1/2018
Indicators of Inhalant Impairment General Indicators Eye Indicators Disorientation Slurred Speech Residue of Substance on Face, Hands, Clothing Confusion Possible Nausea Horizontal Gaze Nystagmus will be present Vertical Nystagmus may be present* Pupil size generally normal *High doses for that individual
Cannabis Marijuana Hashish 8/1/2018
8/1/2018
Indicators of Cannabis Impairment General Indicators Eye Indicators Very bloodshot eyes, with pronounced veins in the eyeballs Body Tremors Odor of Marijuana Disoriented Relaxed Inhibitions Difficulty in Dividing Attention No Nystagmus Pupil size usually will be dilated - but may be normal 312
8/1/2018 Drug use/Baranyai
8/1/2018 Drug use/Baranyai
Signs 8/1/2018
The Eye Examinations 8/1/2018
Drugs Causing Pupil Dilation CNS Stimulants Hallucinogens Cannabis 8/1/2018
Narcotic Analgesics Usually Cause Pupil Constriction Heroin Codeine Demerol Pupils may be considered constricted if the iris appears very small and a large portion of the iris is visible 8/1/2018
Drugs That Usually Don’t Affect Pupil Size CNS Depressants PCP Inhalants 8/1/2018
Drugs That Induce Nystagmus CNS Depressants PCP Inhalants 8/1/2018
Poly drug Use Use of two or more drugs at the same time. EXAMPLES: Alcohol and Almost Anything Else PCP and Cannabis Heroin and Cocaine Many Others 8/1/2018
The End 8/1/2018