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| Unknown | 1994-03-02 | 1.2 KB |
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|00000000| 05 00 0c 00 33 01 f7 01 | 39 03 26 04 44 72 75 67 |....3...|9.&.Drug|
|00000010| 20 61 64 64 69 63 74 69 | 6f 6e 73 20 69 6e 76 6f | addicti|ons invo|
|00000020| 6c 76 65 20 74 68 65 20 | 63 6f 6d 70 75 6c 73 69 |lve the |compulsi|
|00000030| 6f 6e 20 74 6f 20 63 6f | 6e 74 69 6e 75 65 20 74 |on to co|ntinue t|
|00000040| 6f 20 74 61 6b 65 20 61 | 20 6e 61 72 63 6f 74 69 |o take a| narcoti|
|00000050| 63 20 74 6f 20 70 72 6f | 64 75 63 65 20 74 68 65 |c to pro|duce the|
|00000060| 20 64 65 73 69 72 65 64 | 20 65 66 66 65 63 74 73 | desired| effects|
|00000070| 2c 20 6f 72 20 74 6f 20 | 70 72 65 76 65 6e 74 20 |, or to |prevent |
|00000080| 74 68 65 20 69 6c 6c 20 | 65 66 66 65 63 74 73 20 |the ill |effects |
|00000090| 74 68 61 74 20 6f 63 63 | 75 72 20 77 68 65 6e 20 |that occ|ur when |
|000000a0| 69 74 20 69 73 20 6e 6f | 74 20 74 61 6b 65 6e 2e |it is no|t taken.|
|000000b0| 20 43 6f 63 61 69 6e 65 | 20 77 61 73 20 6f 6e 63 | Cocaine| was onc|
|000000c0| 65 20 75 73 65 64 20 61 | 73 20 61 20 6c 6f 63 61 |e used a|s a loca|
|000000d0| 6c 20 61 6e 65 73 74 68 | 65 74 69 63 2c 20 62 75 |l anesth|etic, bu|
|000000e0| 74 20 62 65 63 61 75 73 | 65 20 6f 66 20 69 74 73 |t becaus|e of its|
|000000f0| 20 70 6f 74 65 6e 74 69 | 61 6c 20 66 6f 72 20 61 | potenti|al for a|
|00000100| 62 75 73 65 20 68 61 73 | 20 62 65 65 6e 20 72 65 |buse has| been re|
|00000110| 70 6c 61 63 65 64 20 62 | 79 20 6f 74 68 65 72 20 |placed b|y other |
|00000120| 6c 6f 63 61 6c 20 61 6e | 65 73 74 68 65 74 69 63 |local an|esthetic|
|00000130| 73 2e 00 4d 6f 72 70 68 | 69 6e 65 20 69 73 20 74 |s..Morph|ine is t|
|00000140| 68 65 20 62 65 73 74 20 | 6b 6e 6f 77 6e 20 6e 61 |he best |known na|
|00000150| 72 63 6f 74 69 63 20 70 | 61 69 6e 6b 69 6c 6c 65 |rcotic p|ainkille|
|00000160| 72 2e 20 49 74 73 20 65 | 75 70 68 6f 72 69 63 20 |r. Its e|uphoric |
|00000170| 65 66 66 65 63 74 73 20 | 68 61 76 65 20 6c 65 64 |effects |have led|
|00000180| 20 74 6f 20 69 74 73 20 | 61 62 75 73 65 2e 20 4c | to its |abuse. L|
|00000190| 6f 6e 67 2d 74 65 72 6d | 20 61 62 75 73 65 20 77 |ong-term| abuse w|
|000001a0| 69 6c 6c 20 70 72 6f 64 | 75 63 65 20 63 72 61 76 |ill prod|uce crav|
|000001b0| 69 6e 67 20 61 6e 64 20 | 74 6f 6c 65 72 61 6e 63 |ing and |toleranc|
|000001c0| 65 2c 20 77 68 69 63 68 | 20 72 65 71 75 69 72 65 |e, which| require|
|000001d0| 73 20 67 72 65 61 74 65 | 72 20 61 6d 6f 75 6e 74 |s greate|r amount|
|000001e0| 73 20 66 6f 72 20 74 68 | 65 20 73 61 6d 65 20 65 |s for th|e same e|
|000001f0| 66 66 65 63 74 2e 00 53 | 59 4d 50 54 4f 4d 53 2e |ffect..S|YMPTOMS.|
|00000200| 20 20 50 61 74 69 65 6e | 74 73 20 73 75 66 66 65 | Patien|ts suffe|
|00000210| 72 69 6e 67 20 66 72 6f | 6d 20 63 6f 63 61 69 6e |ring fro|m cocain|
|00000220| 65 20 6f 76 65 72 64 6f | 73 65 20 77 69 6c 6c 20 |e overdo|se will |
|00000230| 73 68 6f 77 20 64 69 6c | 61 74 65 64 20 70 75 70 |show dil|ated pup|
|00000240| 69 6c 73 2c 20 62 75 74 | 20 66 65 77 2c 20 69 66 |ils, but| few, if|
|00000250| 20 61 6e 79 2c 20 61 64 | 64 69 74 69 6f 6e 61 6c | any, ad|ditional|
|00000260| 20 61 62 6e 6f 72 6d 61 | 6c 69 74 69 65 73 2e 20 | abnorma|lities. |
|00000270| 54 68 6f 73 65 20 70 61 | 74 69 65 6e 74 73 20 73 |Those pa|tients s|
|00000280| 75 66 66 65 72 69 6e 67 | 20 66 72 6f 6d 20 6d 6f |uffering| from mo|
|00000290| 72 70 68 69 6e 65 20 61 | 64 64 69 63 74 69 6f 6e |rphine a|ddiction|
|000002a0| 20 63 61 6e 20 62 65 20 | 65 61 73 69 6c 79 20 69 | can be |easily i|
|000002b0| 64 65 6e 74 69 66 69 65 | 64 20 62 79 20 74 68 65 |dentifie|d by the|
|000002c0| 69 72 20 6e 61 72 72 6f | 77 65 64 2c 20 6e 6f 6e |ir narro|wed, non|
|000002d0| 2d 72 65 61 63 74 69 6e | 67 20 70 75 70 69 6c 73 |-reactin|g pupils|
|000002e0| 2e 20 54 68 65 20 62 61 | 6c 61 6e 63 65 20 6f 66 |. The ba|lance of|
|000002f0| 20 74 68 65 20 70 68 79 | 73 69 63 61 6c 20 65 78 | the phy|sical ex|
|00000300| 61 6d 69 6e 61 74 69 6f | 6e 20 66 6f 72 20 6e 65 |aminatio|n for ne|
|00000310| 75 72 6f 6c 6f 67 69 63 | 61 6c 20 64 69 73 6f 72 |urologic|al disor|
|00000320| 64 65 72 73 20 77 69 6c | 6c 20 61 70 70 65 61 72 |ders wil|l appear|
|00000330| 20 6e 6f 72 6d 61 6c 2e | 00 44 49 41 47 4e 4f 53 | normal.|.DIAGNOS|
|00000340| 49 53 2e 20 20 54 68 65 | 20 6c 69 6d 69 74 61 74 |IS. The| limitat|
|00000350| 69 6f 6e 20 6f 66 20 64 | 69 73 6f 72 64 65 72 73 |ion of d|isorders|
|00000360| 20 69 6e 20 74 68 65 20 | 70 68 79 73 69 63 61 6c | in the |physical|
|00000370| 20 65 78 61 6d 69 6e 61 | 74 69 6f 6e 20 73 68 6f | examina|tion sho|
|00000380| 75 6c 64 20 70 72 6f 76 | 69 64 65 20 61 6d 70 6c |uld prov|ide ampl|
|00000390| 65 20 63 6c 75 65 73 20 | 70 6f 69 6e 74 69 6e 67 |e clues |pointing|
|000003a0| 20 74 6f 20 74 68 65 20 | 64 72 75 67 20 61 62 75 | to the |drug abu|
|000003b0| 73 65 20 63 6f 6e 63 6c | 75 73 69 6f 6e 2e 20 49 |se concl|usion. I|
|000003c0| 6e 20 62 6f 74 68 20 74 | 68 65 20 6d 6f 72 70 68 |n both t|he morph|
|000003d0| 69 6e 65 20 61 6e 64 20 | 63 6f 63 61 69 6e 65 20 |ine and |cocaine |
|000003e0| 63 69 72 63 75 6d 73 74 | 61 6e 63 65 2c 20 43 41 |circumst|ance, CA|
|000003f0| 54 20 61 6e 64 20 4d 52 | 49 20 73 63 61 6e 73 2c |T and MR|I scans,|
|00000400| 20 61 6e 67 69 6f 67 72 | 61 6d 20 61 6e 64 20 58 | angiogr|am and X|
|00000410| 2d 72 61 79 73 20 61 72 | 65 20 61 6c 6c 20 6e 6f |-rays ar|e all no|
|00000420| 72 6d 61 6c 2e 00 54 52 | 45 41 54 4d 45 4e 54 2e |rmal..TR|EATMENT.|
|00000430| 20 20 45 66 66 65 63 74 | 69 76 65 20 74 72 65 61 | Effect|ive trea|
|00000440| 74 6d 65 6e 74 20 6f 66 | 20 64 72 75 67 20 61 64 |tment of| drug ad|
|00000450| 64 69 63 74 69 6f 6e 73 | 20 69 6e 76 6f 6c 76 65 |dictions| involve|
|00000460| 20 74 68 65 20 62 72 65 | 61 6b 69 6e 67 20 6f 66 | the bre|aking of|
|00000470| 20 70 68 79 73 69 63 61 | 6c 20 61 6e 64 20 70 73 | physica|l and ps|
|00000480| 79 63 68 6f 6c 6f 67 69 | 63 61 6c 20 64 65 70 65 |ychologi|cal depe|
|00000490| 6e 64 65 6e 63 69 65 73 | 2e 20 52 65 66 65 72 20 |ndencies|. Refer |
|000004a0| 74 68 65 73 65 20 70 61 | 74 69 65 6e 74 73 20 74 |these pa|tients t|
|000004b0| 6f 20 71 75 61 6c 69 66 | 69 65 64 20 70 73 79 63 |o qualif|ied psyc|
|000004c0| 68 69 61 74 72 69 63 20 | 61 6e 64 20 63 6f 75 6e |hiatric |and coun|
|000004d0| 73 65 6c 6f 72 20 63 61 | 72 65 2e 00 61 6c 6c 6f |selor ca|re..allo|
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