Substance second part

Special K, K, Ket, Kat, Cat “K” hole, “K head” Valium, vitamin K, Veterinary use (IM), Smoke with marijuan or tobacco for dreamlike states & hallucinations, Impairs attention,learning & memory, Dissociative anesthetic (veterinary products), Closely related to PCP (abused since 70’s)

Liquid or powder, Ingestion: inhaled, injected, swallowed, smoked, Duration: 20-30 mins, Moderate doses: euphoria, quick burst of energy, drunken feeling, loss of inhibition, confusion, ringing in ears, Long-term SE of regular use unknown

Tunnel vision, Shortness of breat (DIB, diff. in breathing), Loss of balance, Floating sensation, Out of body experience, Vomiting, Numbness of body, Mental depression, No sense of time, Dizziness, Amneisa, Inability to move, Impaired attention, Poor memory, Hallucinations, Bradycardia, Irrational behavior, Seizures, Respiratory depression, Unconsciousness + &- symptoms of psychosis

Psychological & physical dependence is possible, Tolerance can occur, Paraphernalia: glass files, hypodermic needle, plastic baggies, cut of straws, lighters, razors

Treatment of resistant depression in conjunction with and oral antidepressant, Provided intranasally by healthcare provider, Asses BP b4 and after (40 mins) admin- pt must be monitored 2 hours after admin, Monitor for abuse

Medication used as cough suppressant, Sedative, dissociative, and stimulant properties - acts like a dissociative hallucinogen, Candy, DEX, Drank, Robo, Robotripping, skittles, tussin, triple C, velvet, High doses: changes in VS, panic, fear, aggression, exaggerated strength, ataxia, Mixing with alcohol - brain damage or death

Most deadly & most costly - 50% smokers die due to nicotine, SIDS and child respiratory illness, Increases norepinephrine, epinephrine, and serotonin, Both stimulant and depressive qualities, Metabolizes at variable times which makes it an intermittent reinforcer

Varenicline (Chantix) Reduction of nicotine craving and withdrawal monitor for hostility, depressed mood, suicidal ideation, (can induce nightmares i think?), Rimonabant (Zimulti) Smoking cessation & maintaince of body weight Monitor for suicidal ideation, nausea mood swings, poor sleep, depression, Bupropion (Zyban) Patches, gums, lozenges, nasal sprays, inhalers Withdrawal from smoking Take with food to minimize GI upset Monitor for agitation, insomnia, anxiety Do not take bedtime dose or double dose

Cloud 9, Bliss, Lunar wave, vanilla sky, white lightening, Related to substance found in Khat plants, Sold as tabs, capsules, or powder- these ar don’t for bathing, they are intended to be used as drugs, Cheap substitutes for stimulants

Intoxication: euphoria, elevated mood, pleasurable “rush”, Health risks: insomnia, agitation,,tachycardia, HTN, paranoia, chest pain, kidney failures hallucinations, lack of memory, psychosis

Similar to bath salts, Snorted, ingested, smoked, Euphoria, alterness, sexual arousal, focused mind, hyperverbal, positive feeling, ⬆️ temp, HTN, tachycardia, Hallucinations, paranoia, anxiety, insomnia, extreme aggression, violence, psychosis, death

Recreational drug with euphoriant and stimulant properties, Similar to amphetamines, Adveres effects are acute psychosis, renal toxicity, and seizures, Banned in several countries, Found stations and 7-11 in colorful pockets - aimed at kids

Gambling, Gamblers anonymous (GA), Possible tx with SSRIs, bupropion (Wellbutrin), mood stabilizers, and anticonvulsants