Transcript drug outward signs - North Dakota Nurses Association

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