Sm Training Drugs In Pregnancy

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Drugs in preganancy, Patient risk assessment, drugs education in the neo nate, drugs and the infant

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Sm Training Drugs In Pregnancy

  1. 2. INTRODUCTION <ul><li>SMTraining (UK) </li></ul><ul><li>15 Years experience as a Specialist Drugs Training Company </li></ul><ul><li>Expert advisor Ambulance Association UK </li></ul><ul><li>National consultancy </li></ul><ul><li>National advisor on illicit drugs </li></ul>
  2. 3. 1909 <ul><li>“ The sufferer is tremulous and loses his self command; he is subject to fits of agitation and depression. He loses colour and has a haggard appearance…as with other such agents, a renewed dose of the poison gives temporary relief, but at the cost of future misery.” </li></ul>
  3. 4. Scene Assessments <ul><li>Home Visits </li></ul><ul><li>Surgeries </li></ul><ul><li>Hospitals </li></ul><ul><li>Clinics </li></ul>
  4. 5. Introduction to scene assessment
  5. 6. Look Using P.O.P makes risk assessments a conscious process and that in turn reduces risk to individuals. It involves breaking risks into three categories P erson O bject P lace
  6. 7. WHAT ARE DRUGS <ul><li>OPIATES </li></ul><ul><li>CANNABOIDS </li></ul><ul><li>PHYSICAL DEPENDANCY </li></ul><ul><li>PSYCHOLOGICAL DEPENDANCY </li></ul>
  7. 8. ANNA <ul><li>Age: 22 </li></ul><ul><li>Single Mother </li></ul><ul><li>Unemployed </li></ul><ul><li>Assessed at 18 wks </li></ul><ul><li>Discloses the use of cannabis </li></ul><ul><li>Now what ???? </li></ul>
  8. 9. CANNABIS
  9. 10. CANNABIS & PREGNANCY <ul><li>Low birth weight </li></ul><ul><li>Breathing difficulties </li></ul><ul><li>Higher risk of cot death </li></ul><ul><li>Premature </li></ul><ul><li>Bleeding / Miscarriage </li></ul>
  10. 11. EFFECTS <ul><li>EUPHORIA </li></ul><ul><li>RELAXATION </li></ul><ul><li>CHANGE OF PERCEPTION </li></ul><ul><li>PSYCHOSIS </li></ul>
  11. 13. Methylenedioxymethamphetamine
  12. 14. ANNA - Ecstasy
  13. 15. ECSTASY <ul><li>Congenital Abnormalities </li></ul><ul><li>Research is not conclusive </li></ul><ul><li>Mixing of drugs represent real risk factors </li></ul>
  14. 16. Ecstasy Deaths
  15. 17. AMPHETAMINE
  16. 18. AMPHETAMINE THE RISKS ? <ul><li>65 Children studied </li></ul><ul><li>Studies carried out at ages 1-4-8 </li></ul><ul><li>20% in homes at birth </li></ul><ul><li>After 10 years- 70% in foster homes </li></ul><ul><li>Direct link to aggression and violence during Amphetamine use in fetal life </li></ul><ul><li>St Gorans children hospital Stockholm </li></ul>
  17. 19. COCAINE <ul><li>EXTRACTED FORM COCOA PLANT </li></ul><ul><li>SOUTH AMERICAN </li></ul><ul><li>RUBBED ON TO GUMS </li></ul><ul><li>FREEBASE COCAINE </li></ul>
  18. 20. ANNA <ul><li>Age: 22 </li></ul><ul><li>Single Mother </li></ul><ul><li>Unemployed </li></ul><ul><li>Discloses the use of Cocaine </li></ul><ul><li>Now what ???? </li></ul>
  19. 21. The Risks <ul><li>In early pregnancy may increase risk of miscarriage </li></ul><ul><li>High risk premature labour </li></ul><ul><li>Generally smaller head babies </li></ul><ul><li>Deep sleep is common during days </li></ul>
  20. 22. COCAINE
  21. 23. Importation
  22. 24. CRACK THE RISKS <ul><li>Low child birthweight typically below 5 ½ lbs </li></ul><ul><li>Urinary tract defects and Heart Defects are Common </li></ul>
  23. 25. HEROIN
  24. 26. ANNA <ul><li>Age: 22 </li></ul><ul><li>Single Mother </li></ul><ul><li>Unemployed </li></ul><ul><li>Assessed at </li></ul><ul><li>Discloses the use of Heroin or Methadone </li></ul><ul><li>Now what ???? </li></ul>
  25. 27. <ul><li>Extreme risk of miscarriage </li></ul><ul><li>Usual blood born diseases HIV,HEP </li></ul><ul><li>Sudden withdrawal – Still Birth, miscarriage </li></ul><ul><li>Drug present in breast milk if using whilst breast feeding </li></ul>
  26. 28. PRODUCTION
  27. 30. PURITY 35 %
  28. 31. EFFECTS <ul><li>INITIAL EUPHORIA </li></ul><ul><li>INCREASED WELL BEING AND </li></ul><ul><li>DROWSINESS & DISPHORIC MOOD </li></ul><ul><li>SLURRED SPEECH </li></ul><ul><li>IMPAIRMENT IN ATTENTION </li></ul>
  29. 34. DANGERS <ul><li>INFECTION </li></ul><ul><li>CAPILLARY COLLAPSE </li></ul>
  30. 35. Morphine Substitutes
  31. 36. Rachael
  32. 40. <ul><li>Professional Staff Development </li></ul>Lakeview The Maltings Shepton Mallet Somerset BA4 5QE Tel: - 0845 347 0017 E-mail: [email_address] Web:- www.smtraininguk.com SM Training (UK) Ltd

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