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Substance Use and Pain

AB
TolerancePhysiological change that occurs when the body is exposed to substances over extended time; Body trying to get same effects as the first time
Physical dependenceWhen the body continually has a substance, it is used to the affects of that substance; When it is no longer used the body experiences symptoms of not having it.
Substance use risk factorsGenetics; socio-economic status; trauma; family practices; stress; cultural acceptance
OpioidsCause central nervous system (CNS) depression (respiratory depression) along with euphoria; Ex; morphine; fentanyl
StimulantsStimulate the CNS. Cause increased pulse & blood pressure. Give someone more energy or euphoria; Ex; cocaine
HallucinogensCause hallucinations and feelings of euphoria. Can have limited medical purposes; Ex: LSD
DepressantsDepress CNS and increase disinhibition (loss of control or behavior). Alter consciousness, but do not dramatically impact vital signs; Ex: alcohol, Benzodiazepines
PainA symptom used by the body to inform us of potential dangers to homeostasis and health
Acute PainPain pathway: myelinated A fibers; described as sharp, sudden, localized
Chronic painPain pathway: unmyelinated C fibers; described as diffuse, dull, burining, aching
Somatic Painarises from stimulus in the skin, muscles, and joints​
Visceral Painoriginates primarily in the organs (but not in the brain)​
Referred Pain​Pain is perceived at a site distant from the source; Ex: left arm pain with a myocardial infarction
Phantom painPain or sensation (itching/tingling) after an amputation; pain or sensation perceived in lost limb
Pain tolerancethe intensity of pain or amount of time the pain is present that a person can endure before seeking relief



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