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Drug Identification and Enforcement FTO Damon Dees 184 BJH Dept. of Public Safety
[object Object]
Identify Drug Categories and Examples
Identify Signs and Symptoms
Identify Missouri Criminal CodeLesson Objectives
Each of the controlled substances is identified under one of five schedules. Controlled Substances and appropriate schedules listed under RSMo §195.017 Schedule I Schedule II Schedule III Schedule IV Schedule V Drug Schedules
Schedule I Drugs ,[object Object]
Examples:
LSD, Marijuana, Heroin, GHB, Methaqualone aka Quaalude, Amphetamine Variants aka Ecstasy, Psilocybin aka shrooms, Phencyclidine & Anologs aka PCPDrug Schedules
Schedule II Drugs ,[object Object]
Examples:
Amphetamine, Cocaine, Methamphetamine, Methyl-phenidate aka Ritalin, Tetrahydrocannabinol aka THC, Codeine, Methadone, Morphine, Opium, OxycodoneDrug Schedules
Drug Schedules Schedule III Drugs ,[object Object]
Examples:
Ketamine, Anabolic Steroids,[object Object]
Examples:
Benzo- diazepines aka Xanax or Valium,[object Object]
Examples from RSMo §195.017(a) Not more than two and five-tenths milligrams of diphenoxylate and not less than twenty-five micrograms of atropine sulfate per dosage unit;  (b) Not more than one hundred milligrams of opium per one hundred milliliters or per one hundred grams;  (c) Not more than five-tenths milligram of difenoxin and not less than twenty-five micrograms of atropine sulfate per dosage unit;
CNS Depressants CNS Stimulants Hallucinogens Dissociative Anesthetic Narcotic Analgesics Inhalants Cannabis Drug Categories
Alcohol Barbiturates (Mebural and Nembutal) Benzodiazepines (Xanax and Valium) Gamma-hydroxybutyrate (GHB) CNS Depressants
Signs and Symptoms CNS Depressants
Horizontal Gaze Nystagmus – Present Vertical Gaze Nystagmus – Present in high dose Lack of Convergence – Present Pupil Size – Normal (1) Reaction to Light – Slow Pulse – Down (2) Blood Pressure – Down Body Temperature – Normal Muscle Tone – Flaccid 1 – Soma & Quaaludes usually dilate 2 – Quaaludes & Alcohol may elevate CNS Depressant Signs
Uncoordinated Disoriented Sluggish Thick, slurred speech Drunk like behavior Gait ataxia Drowsiness Droopy Eyes Fumbling CNS Depressant Symptoms
CNS Depressants Barbiturates
Cocaine/ Crack Amphetamines, Desoxyn, Dexadrine *(ADHD) Methamphetamines Ritalin Adoral CNS Stimulants
CNS Stimulants Signs and Symptoms
Horizontal Gaze Nystagmus – None Vertical Gaze Nystagmus – None Lack of Convergence – None Pupil Size – Dilated Reaction to Light – Slow Pulse – Up Blood Pressure – Up Body Temperature – Up Muscle Tone - Rigid CNS Stimulant Signs
Restlessness Body Tremors Excited Euphoric Talkative Anxiety Grinding Teeth (Bruxism) Loss of Appetite Insomnia Irritability Dry Mouth CNS Stimulant Symptoms
CNS Stimulants Cocaine Meth
CNS Stimulants
CNS Stimulants Ice Meth
CNS Stimulants
CNS Stimulants
Lysergic Acid Diethylamide, “LSD” Psilocybin Mushrooms Peyote Methylenedioxymethamphetamine, MDMA, “Ecstasy” Hallucinogens
Hallucinogens Signs and Symptoms
[object Object]
Vertical Gaze Nystagmus – none
Lack of Convergence – none
Pupil Size – Dilated
Reaction to Light – Normal (3)
Pulse – Up
Blood Pressure – Up
Body Temperature – Up
Muscle Tone – Rigid3 Certain psychedelic amphetamines cause slowing Hallucinogen Signs
Dazed Appearance Body Tremors Synesthesia (4) Hallucinations Paranoia Uncoordinated Nausea Difficulty in Speech Perspiring Poor Perception of Time and Distance Memory Loss 4 – Brain’s misinterpretation of senses Hallucinogen Symptoms
Hallucinogens Ecstasy
Hallucinogens LSD
Hallucinogens LSD
Hallucinogens
Hallucinogens
Ketamine Phencyclidine “PCP” Dissociative Anesthetic
Dissociative Anesthetic Signs and Symptoms
Horizontal Gaze Nystagmus – Present Vertical Gaze Nystagmus – Present Lack of Convergence – Present Pupil Size – Normal Reaction to Light – Normal Pulse – Up Blood Pressure – Up Body Temperature – Up Muscle Tone - Rigid Dissociative Anesthetic Signs
[object Object]
Warm to the Touch
*Blank Stare
Difficulty in Speech
Incomplete Verbal Responses
Repetitive Speech
*Increased Pain Threshold
Cyclic Behavior
Confused and Agitated
Hallucinations
Possibly Violent & CombativeDissociative Anesthetic Symptoms
Dissociative Anesthetic
Dissociative Anesthetic
Heroin Morphine Oxycotin Demerol Fentanyls Narcotic Analgesics
Narcotic Analgesics Signs and Symptoms
Horizontal Gaze Nystagmus – None Vertical Gaze Nystagmus – None Lack of Convergence – None Pupil Size – Constricted Reaction to Light – Little or None Visible Pulse – Down Blood Pressure – Down Body Temperature – Down Muscle Tone - Flaccid Narcotic Analgesic Signs
[object Object]
“On the Nod”

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Drug Identification And Enforcement

  • 1. Drug Identification and Enforcement FTO Damon Dees 184 BJH Dept. of Public Safety
  • 2.
  • 5. Identify Missouri Criminal CodeLesson Objectives
  • 6. Each of the controlled substances is identified under one of five schedules. Controlled Substances and appropriate schedules listed under RSMo §195.017 Schedule I Schedule II Schedule III Schedule IV Schedule V Drug Schedules
  • 7.
  • 9. LSD, Marijuana, Heroin, GHB, Methaqualone aka Quaalude, Amphetamine Variants aka Ecstasy, Psilocybin aka shrooms, Phencyclidine & Anologs aka PCPDrug Schedules
  • 10.
  • 12. Amphetamine, Cocaine, Methamphetamine, Methyl-phenidate aka Ritalin, Tetrahydrocannabinol aka THC, Codeine, Methadone, Morphine, Opium, OxycodoneDrug Schedules
  • 13.
  • 15.
  • 17.
  • 18. Examples from RSMo §195.017(a) Not more than two and five-tenths milligrams of diphenoxylate and not less than twenty-five micrograms of atropine sulfate per dosage unit; (b) Not more than one hundred milligrams of opium per one hundred milliliters or per one hundred grams; (c) Not more than five-tenths milligram of difenoxin and not less than twenty-five micrograms of atropine sulfate per dosage unit;
  • 19. CNS Depressants CNS Stimulants Hallucinogens Dissociative Anesthetic Narcotic Analgesics Inhalants Cannabis Drug Categories
  • 20.
  • 21. Alcohol Barbiturates (Mebural and Nembutal) Benzodiazepines (Xanax and Valium) Gamma-hydroxybutyrate (GHB) CNS Depressants
  • 22. Signs and Symptoms CNS Depressants
  • 23. Horizontal Gaze Nystagmus – Present Vertical Gaze Nystagmus – Present in high dose Lack of Convergence – Present Pupil Size – Normal (1) Reaction to Light – Slow Pulse – Down (2) Blood Pressure – Down Body Temperature – Normal Muscle Tone – Flaccid 1 – Soma & Quaaludes usually dilate 2 – Quaaludes & Alcohol may elevate CNS Depressant Signs
  • 24. Uncoordinated Disoriented Sluggish Thick, slurred speech Drunk like behavior Gait ataxia Drowsiness Droopy Eyes Fumbling CNS Depressant Symptoms
  • 26.
  • 27. Cocaine/ Crack Amphetamines, Desoxyn, Dexadrine *(ADHD) Methamphetamines Ritalin Adoral CNS Stimulants
  • 28. CNS Stimulants Signs and Symptoms
  • 29. Horizontal Gaze Nystagmus – None Vertical Gaze Nystagmus – None Lack of Convergence – None Pupil Size – Dilated Reaction to Light – Slow Pulse – Up Blood Pressure – Up Body Temperature – Up Muscle Tone - Rigid CNS Stimulant Signs
  • 30. Restlessness Body Tremors Excited Euphoric Talkative Anxiety Grinding Teeth (Bruxism) Loss of Appetite Insomnia Irritability Dry Mouth CNS Stimulant Symptoms
  • 36.
  • 37. Lysergic Acid Diethylamide, “LSD” Psilocybin Mushrooms Peyote Methylenedioxymethamphetamine, MDMA, “Ecstasy” Hallucinogens
  • 39.
  • 42. Pupil Size – Dilated
  • 43. Reaction to Light – Normal (3)
  • 47. Muscle Tone – Rigid3 Certain psychedelic amphetamines cause slowing Hallucinogen Signs
  • 48. Dazed Appearance Body Tremors Synesthesia (4) Hallucinations Paranoia Uncoordinated Nausea Difficulty in Speech Perspiring Poor Perception of Time and Distance Memory Loss 4 – Brain’s misinterpretation of senses Hallucinogen Symptoms
  • 54.
  • 55. Ketamine Phencyclidine “PCP” Dissociative Anesthetic
  • 57. Horizontal Gaze Nystagmus – Present Vertical Gaze Nystagmus – Present Lack of Convergence – Present Pupil Size – Normal Reaction to Light – Normal Pulse – Up Blood Pressure – Up Body Temperature – Up Muscle Tone - Rigid Dissociative Anesthetic Signs
  • 58.
  • 59. Warm to the Touch
  • 68. Possibly Violent & CombativeDissociative Anesthetic Symptoms
  • 71.
  • 72. Heroin Morphine Oxycotin Demerol Fentanyls Narcotic Analgesics
  • 74. Horizontal Gaze Nystagmus – None Vertical Gaze Nystagmus – None Lack of Convergence – None Pupil Size – Constricted Reaction to Light – Little or None Visible Pulse – Down Blood Pressure – Down Body Temperature – Down Muscle Tone - Flaccid Narcotic Analgesic Signs
  • 75.
  • 88.
  • 89. Volatile Solvents Glue, acetone, gasoline Aerosols Hair spray, cooking spray Anesthetic Gases NO₂ , ether Inhalants
  • 91. Horizontal Gaze Nystagmus – Present Vertical Nystagmus – Present in high dose Lack of Convergence – Present Pupil Size – Normal (5) Reaction to light – Slow Pulse – Up Blood Pressure – up/down (6) Body Temperature – up/down/normal Muscle Tone – flaccid 5 Normal but may be dilated 6 Down with anesthetic gases – up with volatile solvents & aerosols Inhalants Signs
  • 92. Residue of substance around mouth and nose Odor of substance Possible nausea Slurred Speech Disorientation Confusion Bloodshot, watery eyes Lack of muscle control Flushed face Non-communicative Intense headaches Inhalants Symptoms
  • 94.
  • 96. Cannabis Signs and Symptoms
  • 97. Horizontal Gaze Nystagmus – none Vertical Nystagmus – none Lack of convergence – present Pupil size – dilated (7) Reaction to light – normal Pulse – up Blood Pressure – up Body Temperature – normal Muscle Tone – normal 7 Possibly normal Cannabis Signs
  • 98. Marked reddening of conjunctiva Odor of Marijuana Body tremors Eyelid tremors Relaxed inhibitions Increased appetite Impaired perception of time & distance Disorientations Possible paranoia Cannabis Symptoms
  • 104.
  • 105. Chapter 195 RSMo defines and regulates the use of controlled substances. http://www.moga.mo.gov/statutes/c195.htm Missouri Criminal Code
  • 106. A person commits the crime of possession of a controlled substance if he/she: Knew of the presence of the substance; AND Knew of the illegal nature of the substance; AND Had actual or constructive possession of the substance; AND The substance was a controlled substance. Penalty varies §195.202 Possession or control of a controlled substance, penalty.
  • 107. A person to whom or for whose use any controlled substance in Schedule II has been prescribed, sold, or dispensed by a physician, dentist, podiatrist, or pharmacist, or other person authorized under the provisions of section 195.050 and the owner of any animal for which any such drug has been prescribed, sold, or dispensed, by a veterinarian, may lawfully possess it only in the container in which it was delivered to him by the person selling or dispensing the same. §195.110 User of controlled substance to keep it in container in which obtained.
  • 108. Knowingly Distributes; OR Delivers; OR Manufactures; OR Produces A controlled substance; OR Attempts to Distribute; OR Deliver; OR Manufacture; OR Produce A controlled substance; OR Knowingly possesses with the intent to Distribute; OR Deliver; OR Manufacture; OR Produce A controlled substance §195.211 Distribution, delivery, manufacture or production of a controlled substance, violations and attempted violations, penalty.
  • 109. A person commits the crime of possession or use of drug paraphernalia if he/she: Uses, or possesses with the intent to use Paraphernalia; To plant propagate, cultivate, grow, harvest manufacture, compound, convert, produce, process, prepare, test, analyze, pack, repack, store, contain, conceal, inject, ingest, inhale, or otherwise introduce into the human body A controlled substance or imitation controlled substance. §195.233Use or Possession of Drug Paraphernalia
  • 110. A person commits the crime of possession of ephedrine if he/she: Possesses any methamphetamine precursor drug; AND Possesses such substance with the intent to manufacture methamphetamine or its analogs. Class D Felony See §195.400 for list of regulated chemicals §195.246Possession of Ephedrine
  • 111. It is unlawful for any person to possess chemicals listed in subsection 2 of section 195.400, or reagents, or solvents, or any other chemicals proven to be precursor ingredients of methamphetamine or amphetamine, as established by expert testimony pursuant to subsection 3 of this section, with the intent to manufacture, compound, convert, produce, process, prepare, test, or otherwise alter that chemical to create a controlled substance or a controlled substance analogue in violation of sections 195.005 to 195.425. A person who violates this section is guilty of a class C felony. The state may present expert testimony to provide a prima facie case that any chemical, whether or not listed in subsection 2 of section 195.400, is an immediate precursor ingredient for producing methamphetamine or amphetamine. §195.420Creation of Controlled substance
  • 112. When dealing with unknown pills call Poison Control and they can Identify them by the numbers on the pill. 1-800-392-9111 Additional Information
  • 113. Corporal Scott Connor – Sullivan Police Dept. Instructor at The Law Enforcement Training Institute at the University of Missouri – Columbia www.erowids.org Special Thanks to:

Editor's Notes

  1. Show SFST Video
  2. Show video documentary on Ecstacy
  3. Show documentary on Heroin
  4. Show video on “Huffing”
  5. Show “JointGuy” video