chp 23: meds for children

Question 0

these medication increase NE, increase serotonin, increase dopamine

Answer 0

CNS stimulants

Question 1

CNS stimulants meds

Answer 1

Ritalin
Methylin
Focalin
Dexedrine
Adderall

Question 2

adverse effects of CNS stimulants

Answer 2

insomnia, restlessness
weight loss
cardiovascular effects: dysrhythmias, htn
hallucinations, paranoia

Question 3

contraindications of CNS stimulants

Answer 3

anxiety
substance use disorder
psychosis

Question 4

with CNS stimulants, avoid use of…

Answer 4

MAOIs
caffeine
Coumadin
Dilantin
OTC cold and decongestant meds

Question 5

transdermal Daytrana application

Answer 5

place on hip daily in the morning
leave on no longer than 9hrs
alternate hips daily

Question 6

NSRIs meds

norepi selective reuptake inhibitor

Answer 6

Atomoxetine (Strattera)

Question 7

adverse effects of NSRIs

Answer 7

appetite suppression
weight loss
growth suppression
suicidal ideation
hepatotoxicity
*** give med right before meals

Question 8

with NSRIs avoid use of

Answer 8

MAOIs
Paxil
Prozac
gluconate (Quinidine)

Question 9

nursing admin of NSRIs

Answer 9

therapeutic effect may take 1-3weeks to fully develop

Question 10

TCA meds

tricyclic antidepressants

Answer 10

Norpramin
Tofranil
Anafrani

Question 11

adverse effects of TCAs

Answer 11

orthostatic hypotension
anticholinergic effects
	dry mouth, blurred vision, urinary hesitantcy
weight gain
sedation
decreased seizure threshold

Question 12

TCAs contraindications

Answer 12

seizure disorders
diabetes
liver and kidney and resp disorders
hyperthyroidism

Question 13

nursing admin of TCAs

Answer 13

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

Question 14

Alpha adrenergic agonsits

Answer 14

intuniv

kapvay

Question 15

adverse effects of alpha adrenergic agonists

Answer 15

CNS effects
sedation, drowsiness, fatigue
hypotension, bradycardia
weight gain

Question 16

nursing admin: alpha agonists

Answer 16

avoid abrupt discontinuation of med which can result in rebound hypertension

Question 17

Antipsychoics- atypical

Answer 17

risperdal

zyprexa

Question 18

adverse effects of antipsychotics atypical meds

Answer 18

new onset of diabetes
loss of glucose control
weight gain
hypercholestrolemia
ortho. hypo.
anticholinergic effects
mild EPS

Question 19

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

Answer 19

seizures
agitation
irregular pulse

Question 20

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

Answer 20

eat a diet high in fiber

Question 21

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

Answer 21

yellowing skin
fever
malaise

Question 22

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

Answer 22

remove the patch each day after 9hrs

Question 23

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

Answer 23

monitor BP while taking this med

administer the med right before breakfast