CNS STIMULANTS

Question 1

Amphetamines and Amphetamine-like drugs are primarily used for

Answer 1

ADHD
Narcolepsy
Asthma (bronchiodilator)

Question 2

Drug categories for amphetamines and amphetamine-like drugs

Answer 2

Ritalin/Concerta (methylphendiate)
Adderall (amphetamine-dextroampthetamine)
Caffeine (Methylxanthines)
Modafinil (Provigil)

Question 3

amphetamine used for Narcolepsy

Answer 3

Modafinil (Provigil)

Question 4

amphetamine used for Ashtma

Answer 4

Caffeine (methylxanthines)

Question 5

most common reason a CNS stimulant is prescribed

Answer 5

ADHD

Question 6

how do amphetamines work

Answer 6

promote the release of dopamine and norepinephrine from the neuron

Question 7

what is norepinephrine responsible for

Answer 7

fight or flight (tachy, elevated BP, hyper-vigilance, appetite suppressant, urinary retention, super alert)

Question 8

when thinking of dopamine what do we think of

Answer 8

chocolate - pleasure, feel good, reward center

Question 9

s/e of amphetamines

Answer 9

HTN, tachycardia, addiction potential, insomnia, weight loss, increased tolerance (dosage problems)

Question 10

drugs that treat ADHD (Ritalin) allow pt to be

Answer 10

alert and focused

allows positive behaviors to be learned

Question 11

Ritalin is usually not prescribed for children under

Answer 11

age 5 or 6

Question 12

how is Ritalin taken

Answer 12

PO

Question 13

3 types of Ritalin (acting)

Answer 13

short, intermediate and long duration

Question 14

s/e of drugs used to treat adhd (Ritalin)

Answer 14

growth suppression (drug holiday)
insomnia
headache 
abd. pain
lethargy
appetite suppression

Question 15

*what is a drug holiday

Answer 15

stop drug for a little bit

Question 16

*2 main reasons for a drug holiday

Answer 16

so child can catch up on growth chart

re-evaluating for the need to continue w/medication

Question 17

for adhd drugs, start with low dose and titrate up as needed, t or f

Answer 17

true

Question 18

when is the best time to give ADHD meds

Answer 18

early in the morning, ideally with breakfast

Question 19

for adults with ADHD which drug will we give

Answer 19

strattera

Question 20

s/e of strattera

Answer 20

suicidal ideation

Question 21

for drug overdose/toxicity what are s/s

Answer 21

psychosis, HTN, hallucinations, delusions, tachy, increased BP

Question 22

prior to ADHD administration check for these problems

Answer 22

heart