chp 23: meds for children Flashcards
these medication increase NE, increase serotonin, increase dopamine
CNS stimulants
CNS stimulants meds
Ritalin Methylin Focalin Dexedrine Adderall
adverse effects of CNS stimulants
insomnia, restlessness
weight loss
cardiovascular effects: dysrhythmias, htn
hallucinations, paranoia
contraindications of CNS stimulants
anxiety
substance use disorder
psychosis
with CNS stimulants, avoid use of…
MAOIs caffeine Coumadin Dilantin OTC cold and decongestant meds
transdermal Daytrana application
place on hip daily in the morning
leave on no longer than 9hrs
alternate hips daily
NSRIs meds
norepi selective reuptake inhibitor
Atomoxetine (Strattera)
adverse effects of NSRIs
appetite suppression weight loss growth suppression suicidal ideation hepatotoxicity *** give med right before meals
with NSRIs avoid use of
MAOIs
Paxil
Prozac
gluconate (Quinidine)
nursing admin of NSRIs
therapeutic effect may take 1-3weeks to fully develop
TCA meds
tricyclic antidepressants
Norpramin
Tofranil
Anafrani
adverse effects of TCAs
orthostatic hypotension anticholinergic effects dry mouth, blurred vision, urinary hesitantcy weight gain sedation decreased seizure threshold
TCAs contraindications
seizure disorders
diabetes
liver and kidney and resp disorders
hyperthyroidism
nursing admin of TCAs
may take 1-3weeks to experience therapeutic effects
full therapeutic effects may take 2-3monhs
continue therapy after improvement in manifestations
***sudden discontinuation results in relapse
Alpha adrenergic agonsits
intuniv
kapvay
adverse effects of alpha adrenergic agonists
CNS effects
sedation, drowsiness, fatigue
hypotension, bradycardia
weight gain
nursing admin: alpha agonists
avoid abrupt discontinuation of med which can result in rebound hypertension
Antipsychoics- atypical
risperdal
zyprexa
adverse effects of antipsychotics atypical meds
new onset of diabetes loss of glucose control weight gain hypercholestrolemia ortho. hypo. anticholinergic effects mild EPS
a nurse is teaching the parents of a child with a new prescription for Tofranil and his parents about indications of toxicity. which of the following should the nurse include in teaching
seizures
agitation
irregular pulse
a nurse is teaching an adolescent client who has a new prescription for clomipramine (Anafranil) for OCD. which of the following should the nurse teach the client to minimize one of the adverse effects of the med
eat a diet high in fiber
a nurse is providing teaching to an adolescent who is to begin taking Strattera for ADHD. the nurse should instruct the client to monitor for and report which of the following indications of liver damage
yellowing skin
fever
malaise
a nurse is caring for a school age child who has a new prescription for daytrana to treat ADHD. which of the following should the nurse teach the client and family about this med
remove the patch each day after 9hrs
a nurse is teaching a school age child and his parents about a new prescription for vyvanse. which of the following is an appropriate for the nurse to include in teaching
monitor BP while taking this med
administer the med right before breakfast