NURSING PROCESS Methylphenidate HCl (Ritalin) Flashcards

1
Q

Upon determination of the patient’s health history, what conditions will contraindicate drug’s actions?

A

History of heart disease, hypertension, hyperthyroidism, parkinsonism, or glaucoma

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2
Q

Which drug does Ritalin reverse effects of?

A

Antihypertensives

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3
Q

What would you evaluate in children?

A

Height, growth, weight

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4
Q

Which lab results would you gather before and during therapy in terms of blood values?

A

CBC, WBCs, and platelets

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5
Q

When monitoring vital signs, what abnormal finding would you report?

A

If there are irregularities

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6
Q

What information would you constantly monitor in children?

A

Height, weight, and growth

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7
Q

When observing withdrawal symptoms, what would you see?

A

Nausea, vomiting, weakness, headache

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8
Q

What are the side effects? Report these findings.

A

Insomnia, restlessness, nervousness, tremors, irritability tachycardia, elevated blood pressure

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9
Q

What would instruct client when taking the medication, such as when should the client take the drug?

A

Take drug before meals

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10
Q

Which fluid would the client need to avoid?

A

Alcohol

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11
Q

When teaching the client, how often should the client check weight? What finding would they report to you?

A

Twice a week. Report if there is weight loss

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12
Q

When taking the drug, what should the client NOT engage to?

A

Avoid driving and using hazardous equipment when experiencing tremors, nervousness, or increased heart rate

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13
Q

How should the drug be stopped?

A

Tapered, to avoid withdrawal symptoms

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14
Q

When shopping for the drugs OTC, what would you teach the client?

A

Read the labels and check if there is a high concentration of caffeine in them. High serum levels of caffeine could be fatal

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15
Q

When teaching nursing mothers, what would you remind them about CNS stimulants?

A

They should avoid ALL CNS stimulants because they are excreted in breast and milk which can cause restlessness or hyperactivity in infants

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16
Q

Warn client or family that long-term use may lead to drug abuse

A

Okay…

17
Q

Regarding foods, what would you teach the client to avoid?

A

Avoid foods that contain caffeine

18
Q

For children taking this drug, what would you teach the child’s family?

A

Provide them with a nutritious breakfast because the drug may have anorexic effects

19
Q

Which side effects would you teach the client to report?

A

Tachycardia and palpitations. Monitor children of Tourette syndrome

20
Q

What is Tourette syndrome?

A

Uncontrollable repetition of sounds or movement of a body part (e.g., tics, arm thrusting)

21
Q

What would you evaluate?

A

Effectiveness of drug therapy, level of hyperactivity, and presence of adverse effects. Monitor weight, sleep patterns, and mental status