Tuesday, November 22, 2016

Painkiller abuse

Definition: Painkillers are medicines that are used to treat pain.
Modes of intake; they can be taken by:
ü  mouth as liquids, tablets, or capsules,
ü  injection,
ü  Via the rectum (back passage) - for example, suppositories.
ü  Some are available as a creams or an ointment.

The three main types of painkillers
  •  Paracetamol.
  • Non-steroidal anti-inflammatory drugs (NSAIDS). Examples of NSAIDs include; ibuprofen, diclofenac, and celecoxib.
  • Opiates ;these are either
ü  Weak opioids include: codeine, and dihydrocodeine.
ü  Strong opioids include: diamorphine, morphine, oxycodone, and pethidine.
ü  Tramadol as an opioid is neither a weak nor a strong opioid.

Medical complications
·        Strong painkillers increase risk of heart or stroke death.
·        Paracetamol overdose may cause irreversible liver damage within 3 days (malnourishment and alcohol increase the risk)
·        Asprin toxicity may cause ringing in the ears and sighing when breathing.

Procedures for management and treatment 

If the person is conscious:
  • Help them into a comfortable position.
  • Ask them what they have taken.
  • Reassure them while you talk to them.
  • Call for emergency medical help.
  • Monitor and record vital signs  level of response, pulse and breathing - until medical help arrives.
  • Look for evidence that might help to identify the drug, such as empty containers.

In the case of unconsciousness
Perform cardiopulmonary resuscitation.(CPR)
  • Open the airway and check breathing.
  • Be prepared to give chest compressions and rescue breaths if necessary.
  • Place them into the recovery position if the person is unconscious but breathing normally.
  • Do notinduce vomiting.
  • Call for emergency medical help.

No comments: