Exam #1 Medications Flashcards
what medications are considered amphetamines?
lisdexamfetamine and dextroamphetamine
what medications are considered amphetamine like?
methylphenidate and dexmethylphenidate
what medications are considered stimulants?
amphetamines and amphetamine like drugs
what stimulant group is used first in treating ADHD?
amphetamine like
what medications is a contraindication for stimulant use?
anticoagulants like warfarin, aspirin, and heparin
what are the adverse reactions to stimulants?
exfoliative dermatitis, stroke, thrombocytopenia, hepatoxicity (jaundice)
when should you take stimulants?
give at least 6 hours before bedtime and after meals
what should you do in regard to transdermal pathces?
change every 9 hours and use gloves
who do you not give stimulants too?
parkinsons and cardiovascular disease
what baseline should be taken before giving stimulants?
vital signs, weight, BMs, I/O, growth chart
what cns effects do stims have?
dizziness, headache, euphoria, blurred vision, confusion, restless, insomnia
what CV side effects do stims have?
tachy, hypertension, palpitations, dysrhythmias, electrolytes
what GI effects do stims have?
dry mouth, anorexia, weight loss, diarrhea, constipation
what endocrine side effects do stims have?
seizures, tremors, ED
how does methylphenidate work?
blocks reuptake of dopamine/nor epi,
what does methylphenidate do for the patietn?
increases attention span/cognitive performance and decreases impulsiveness, hyperactivity, and restlessness
what should you keep in mind when giving atomexetine?
give the does before 4pm and if mixed with MAOIs it can cause hypertensive crisis
what should you keep in mind when giving bupropion?
watch for SI, give dose before 4 pm, lowers seizure threshold, if mixed with MAOIs can cause hypertensive crisis
what patient is contraindicated with bupropion
seizure patients
what MAOI do you need to know for the exam?
phenelzine
what should you keep in mind when giving clonidine?
it an cause hypotension and bradycardia, dont use alcohol or other depressant drugs,