End of life care: Overview of symptom control Authors Eduardo Bruera, MD Rony Dev, DO Section Editors Linda Emanuel, MD, PhD Ezekiel J Emanuel, MD, PhD Deputy Editor Diane MF Savarese, MD Disclosures All topics are updated as new evidence becomes available and our peer review process is complete. Literature review current through: Mar 2012. | This topic last updated: Apr 13, 2011. INTRODUCTION — Most patients in the terminal phase of a severe advanced illness such as cancer develop potentially
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Abstinence Syndrome (NAS) refers to the collection clinical signs correlated with opioid withdrawal that usually manifests as neurological excitability, gastrointestinal dysfunction, and autonomic over reactivity (3). Throughout the past decade, there has been rising public health, medical, and political devotion disbursed to the parallel growth in two developments: an escalation in the prevalence of prescription opioid abuse and an escalation in the incidence of NAS. The diagnosis of NAS has increased
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Our nation is suffering from an epidemic like we have never seen before. It is blind to nationality, race, and social class; it effects everyone from the nicest neighborhoods in Beverly Hills to the poverty-stricken town of Brownsville, Texas. You can witness it on street corners and pain clinics, or in abandoned houses and sketchy alleyways. It discriminates against no one; from the young to the old and from the famous to the not-so-famous. Opiates are killing people at an alarming rate in this
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anesthesiologists. Supplies from clandestine laboratories are mixed with or sold as heroin or cocaine. Due to its extreme potency this has lead to many accidental overdoses in recent years. Fentanyl is a very strong µ-opioid receptor agonist, meaning that fentanyl will bind to and active the µ-opioid receptor.
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Prescribed Into Addiction Our family will always wonder if a holistic approach to his back pain could have saved my brother from being a statistic of the opiate overdose epidemic. My brother, Jeremy, was one of over 125,000 people who have lost their life since 2000, to the epidemic of opiate overdoses. There are dozens of safe alternative treatments for chronic back pain that do not involve taking medication or having an operation. We will struggle the rest of our lives wondering if tried holistic
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people die from an opioid overdose each year. (Information Sheet on Opioid Overdose). Heroin is just one of the many opioid forms labeled as analgesics. An analgesic relieves pain and is also called a “pain-killer”. Opioids are created from the plant “papaver somniferum”, better known as the opium poppy. The earliest records of this plant date back thousands of years ago to a Sumerian tablet which called the plant the “flower of joy.” The opium poppy is the root source of all opioids, the seed pod is
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legislation to help cope and deal with the growing issues at hand. On June 17, 2015, one such bill was introduced to a congressional committee, H.R. 2805: Heroin and Prescription Opioid Abuse Prevention, Education, and Enforcement Act of 2015 (S. H.R. 2805, 2015). H.R. 2805 is a bill, which addresses prescription opioid abuse and heroin use, and methods of managing such issues through the development of best prescribing practices, amendments to controlled substance monitoring programs, Naloxone demonstration
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Drug | Mechanism of action | Indications | Contraindications | Side effects | Adverse effects | Nursing responsibilities | Calcium gluconate 10mgDrug class:Antacid, electrolyte | Essential element of the body; helps maintain the functional integrity of the nervous and muscular systems; helps maintain cardiac function, blood coagulation; is an enzyme cofactor and affects the secretory activity of endocrine and exocrine glands; neutralizes or reduces gastric activity. | Dietary supplement when calcium
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term effects like time/perception loss or anxiety come from THC (Volkow). Another harmful substance released drugs are opioids [synthetic narcotic that mimics the naturally occurring opiates] these act by attaching to specific proteins called “opioid receptors found in the brain, spinal cord and gastrointestinal tract] these act by attaching to specific proteins called “opioid receptors found in the brain, spinal cord and gastrointestinal
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“The Poor Man’s Heroin”: The Origin and Effects of the Street Drug Krokodil Nick Sekits Ms. Tabata 11-12-15 HISTORY & ORIGIN In 2011, American media was buzzing about the new Russian street drug, “Krokodil”. Sensationalists dubbed it the “zombie drug”, the “drug that eats junkies”, and “the most dangerous drug in the world.” While fear of the drug catching on in the U.S was really just the work of exaggerated media, the carnage in Russia was very real, especially amongst the poor. The epidemic
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