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ATI Mental Health > 25 Med for Children + Adolescents who have Mental Health Issues > Flashcards

25 Med for Children + Adolescents who have Mental Health Issues Flashcards

1
Q

CNS stimulants

drug names

A
  • methylphenidate
  • amphetamine
  • dextroamphetamine
  • dexmethylphenidate
  • lisdexamfetamine

*METH to AMP up

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2
Q

CNS stimulants

action

A

raise level of norepinephrine + dopamine into CNS

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3
Q

CNS stimulants

indication

A

ADHD - paradoxical

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4
Q

CNSS stimulants

A/E

A
  • CNS stim (insomnia, restless)
  • wt loss + growth suppression r/t reduced appetite
  • cardiovasc effects
  • psychotic manifestations
  • withdrawal rxn
  • skinr ash (meth patch)
  • toxicity
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5
Q

to prevent over stimulation (insomnia, restless), CNS stimulants should be admin no later than…

A

4pm

  • also keep the dosage as low as possible
  • avoid caffeine
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6
Q

cardiovascular effects of CNS stimulants + nursing actions

A
  • dysrhythmias, chest pain, high BP
  • can incr risk of sudden death w pt w heart abnormalities
  • monitor VS + ECG
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7
Q

toxicity findings + nursing actions for CNS stim

A

dizzy, palpitatn, HTN, hallucination, seizure

  • treat hllcntn w CHLORPROMAZINE
  • treat seizure w DIAZEPAM
  • admin fluids
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8
Q

CNS stimulants

CI

A
  • hx of substance abuse
  • cardiovasc disease
  • severe anxiety
  • psychosis
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9
Q

CNS stimulant

interactions

A
  • MAOI- hypertensive crisis

- caffeine + OTC cold/decongestant- incr CNS stim

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10
Q

CNS stim

teaching

A
  • 30-45min before meals
  • no later than 4pm
  • full effect 6 wks
  • admin on reg schedule
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11
Q

SNRI

drug names

A
  • atomoxetin (not a stimulant)

- buproprion

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12
Q

SNRI

indication

A

ADHD

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13
Q

SNRI

A/E

A
  • appetite/growth supprsn, wt loss
  • GI effects (N/V, ab pain)
  • suicidal ideation
  • hepatotoxicity
  • CNS effect (headache, insomnia, irritable)
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14
Q

SNRI to avoid GI effects…

A

take w food

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15
Q

signs of liver damage

A
  • flu-like manifestation
  • jaundice
  • ab pain
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16
Q

SNRI

CI

A
  • suicidal ideation
  • angle-closure glaucoma
  • pheochromocytoma
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17
Q

SNRI

interactions

A

MAOI- hypertensive crisis

SSRI -incr level of atomoxetine

18
Q

TCA

drug names

A

despramine
imipramine
clomipramine

19
Q

TCA

action

A

block reuptake of norepinephrine + serotonin which intensifies them

20
Q

TCA

indication

A
  • dprssn
  • autism
  • ADHD
  • panic disorder
  • separation anxiety
  • social phobia
  • OCD
21
Q

TCA

A/E

A
  • orthostatic hypotension
  • antichol effects
  • wt gain r/t incr appetite
  • sedation
  • decr seizure threshold
  • diaphoresis
  • toxicity
22
Q

orthostatic hypotension teaching

A

monitor BP w first dose

change position slowly

23
Q

TCA toxicity

characteristics

A

cholinergic blockage + cardiac toxicity

-dysrhythmias, mental confusn, agitation> seizures, coma, death

24
Q

TCA toxicity

teaching

A
  • 1wk supply of med at a time
  • obtain baseline ECG
  • monitor VS frequently
25
Q

TCA

CI

A
  • recent MI, or hx of HF
  • hx prolonged QT
  • can incr suicidal tendencies
  • careful w seizures, CAD, diabetes, liver, kidney
26
Q

TCA

interactions

A

antihistamine- incr antichol
MAOI, epinephrine, dopamine -hypertensive crisis
-ETOH, benzo, opioid, antihistamin - CNS depress

27
Q

TCA

teaching

A
  • take before bedtime bc sedation

- high suicide potential so only give 1 wk supply for acutely ill, then 1 month supply

28
Q

A2-Adrenergic Agonist

drug name

A
  • guanfacine

- clonidine

29
Q

A2-Adrenergic Agonist

indication

A
  • ADHD
  • tic disorder
  • conduct + oppositional defiant disorders
30
Q

A2-Adrenergic Agonist

A/E

A
  • CNS dprssn (sedatn, drowsy, tired)
  • cardiovasc dprssn
  • wt gain
  • GI effects
31
Q

A2-Adrenergic Agonist

cardiovascular depression + TEACHING

A
  • hypotention
  • bradycardia
  • monitor BP + pulse during initial tx
  • abrupt discontinuation> rebound HTN
32
Q

A2-Adrenergic Agonist

GI effects

A
  • N/V
  • constipatn
  • dry mouth
33
Q

A2-Adrenergic Agonist

teaching

A
  • monitor BP + pulse in early
  • avoid high fat> incr absorp of guanfacine
  • careful w anyhypertensive
  • careful w ETOH + cns dprssnt
34
Q

Atypical AntiPsychotics

drug names

A
  • risperidone
  • olanzapine
  • aripiprazole
  • quetiapine
35
Q

Atypical AntiPsychotics [risperidone, olanzapine, aripiprazole, quetiapine]

action

A

blocks serotonin, dopamin receptors

36
Q

Atypical AntiPsychotics [risperidone, olanzapine, aripiprazole, quetiapine]
indication

A
  • autism
  • conduct disorder
  • OCD
  • relief of psychotic manifestations
37
Q

Atypical AntiPsychotics [risperidone, olanzapine, aripiprazole, quetiapine]
A/E

A
  • DM
  • wt gain
  • hypercholesterolemia
  • orthostatic hypotensn
  • antichol effects
  • agitatn, dizzy, sedatn, sleep disruptn
  • mild EPS
38
Q

Atypical AntiPsychotics [risperidone, olanzapine, aripiprazole, quetiapine]
teaching

A
  • avoid ETOH + CNS dprssnt

- levodopa counteracts the effects

39
Q

SSRI

drug names

A
  • fluoxetine
  • sertraline
  • fluvoxamine
40
Q

SSRI

indication

A
  • intermittent explosive disorder
  • autism
  • OCD
  • depression
  • bulimia
  • anxiety
41
Q

SSRI

complications

A
  • agitation, anxiety, sleep disturbance
  • tremors
  • headaches
  • weight changes
  • GI effects
42
Q

SSRI interactions

A

MAOI, SNRI, buspirone, + St. Johns Wort

-incr risk for serotonin syndrome

ATI Mental Health (22 decks)

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