1. Drugs And Addiction

2. Healthy People
In 2005, an estimated 22 million Americans struggled with a drug or alcohol problem. Almost 95 percent of people with substance use problems are considered unaware of their problem.* Of those who recognize their problem, 273,000 have made an unsuccessful effort to obtain treatment

3. Healthy People
Substance abuse refers to a set of related conditions associated with the consumption of mind- and behavior-altering substances that have negative behavioral and health outcomes. Social attitudes and political and legal responses to the consumption of alcohol and illicit drugs make substance abuse one of the most complex public health issues

4. Healthy People
Addiction is a disease that affects both the brain and behavior. There are biological and environmental factors including genetic variations that contribute to the development and progression of the disease.

5. Healthy People
Adolescent abuse of prescription drugs has continued to rise over the past 5 years. The 2007 MTF survey found high rates of nonmedical use of the prescription pain relievers Vicodin and OxyContin. It is believed that 2 factors have led to the increase in abuse.

6. Healthy People
First, the availability of prescription drugs is increasing from many sources, including the family medicine cabinet, the Internet, and doctors. Second, many adolescents believe that prescription drugs are safer to take than street drugs

7. Soldiers
Military operations in Iraq and Afghanistan have placed a great strain on military personnel and their families. This strain can lead to family disintegration, mental health disorders, and even suicide.

8. Soldiers
Data from the Substance Abuse and Mental Health Services Administration (SAMSHA) National Survey on Drug Use and Health indicate that from 2004 to 2006, 7.1 percent of veterans (an estimated 1.8 million people) had a substance use disorder in the past year

9. ETOH
Alcohol’s effects vary from person to person, depending on a variety of factors, including:
How much you drink
How often you drink
Your age
Your health status
Your family history

10. Cocaine
Blow, Bump, C, Candy, Charlie, Coke, Crack, Flake, Rock, Snow, Toot
Snorted, smoked, injected

11. Cocaine
Narrowed blood vessels; enlarged pupils; increased body temperature, heart rate, and blood pressure; headache; abdominal pain and nausea; euphoria; increased energy, alertness; insomnia, restlessness; anxiety; erratic and violent behavior, panic attacks, paranoia, psychosis; heart rhythm problems, heart attack; stroke, seizure, coma.

12. Bath Salts
Increased heart rate and blood pressure; euphoria; increased sociability and sex drive; paranoia, agitation, and hallucinations; psychotic and violent behavior; nosebleeds; sweating; nausea, vomiting; insomnia; irritability; dizziness; depression; suicidal thoughts; panic attacks; reduced motor control; cloudy thinking.

13. GHB
G, Georgia Home Boy, Goop, Grievous Bodily Harm, Liquid Ecstasy, Liquid X, Soap, Scoop
Colorless liquid, white powder
Swallowed (often combined with alcohol or other beverages
Sometimes used as a date rape drug.

14. Heroin
Brown sugar, China White, Dope, H, Horse, Junk, Skag, Skunk, Smack, White Horse
White or brownish powder, or black sticky substance known as “black tar heroin
Injected, smoked, snorted

15. Ketamine K, Special K, Vitamin K Liquid, white powder
Injected, snorted, smoked (powder added to tobacco or marijuana cigarettes), swallowed

16. WET
"Wet," a street name for liquid PCP, can be applied to a marijuana cigarette and then smoked.
PCP-As a recreational drug, PCP may be ingested orally, smoked, insufflated or injected

17. WET-PCP
Symptoms are summarized by the mnemonic device RED DANES: rage, erythema (redness of skin), dilated pupils, delusions, amnesia, nystagmus (oscillation of the eyeball when moving laterally), excitation, and skin dryness.

18. Healthy People 2020
Reduce substance abuse to protect the health, safety, and quality of life for all, especially children.

19. How drugs affect our community
Teenage pregnancy
Human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS)
Other sexually transmitted diseases (STDs)
Domestic violence

20. How drugs affect our community
Child abuse
Motor vehicle crashes
Physical fights
Crime
Homicide
Suicide

21. Narcan
Naloxone blocks opiate receptors and reverses the effect of opiate drugs
If there are no opiates in the blood, Naloxone has no effect
Less than <0.1% of population is allergic to Naloxone

22. Narcan Naloxone only reverses opiate drugs, such as: Heroin Morphine
Cheap, readily available
Morphine
Fentanyl
Codeine
Oxycontin
Hydrocodone/Oxycodone

23. S/S of Opiate OD Decreased level of consciousness Pinpoint pupils
Respiratory depression
Agonal/snoring respirations or
“dying breathsAirway compromise
Vomiting
Respiratory Arrest
Cardiac Arrest

24. Narcan Typical onset is within less than 3 minutes
If victim remains unresponsive, administer additional dose(s) as needed until the victim responds. Depending on amount of opiates on board, reversal with Naloxone may be temporary
Overdose symptoms (e.g. respiratory depression, unconsciousness) can recur
Additional doses may become necessary
You cannot OD on narcan

25. Narcan Side Effects
Naloxone administration can induce rapid withdrawal causing:
Nausea/Vomiting
Agitation
Seizures
Be prepared as the victim may become combative/aggressive
Use appropriate restraint per department policy
Monitor victim’s breathing carefully
Monitor victim for changes in responsiveness

26. Philadelphia