(pharm) Ch 57: Drugs for Attention Deficit Disorder and other Stimulants
A (these drugs have been associated with growth suppression.)
A 10-year-old boy is taking dextroamphetamine (Dexedrine) daily for ADHD. At each clinic visit, the nurse must assess the child. The priority assessment since he is on this medication would be which? A) height and weight. B) Vision. C) body temperature. D) blood pressure.
Selective Norepinephrine Reuptake Inhibitors (SNRIs)
Atomoxetine (Strattera) is a ________________________ (drug class). -used to treat ADHD.
A (The nurse should teach the child to avoid caffeine because of its potentiation of methylphenidate. The child should be checked twice a week for weight loss. The drug should be taken 30 to 45 minutes before a meal to promote absorption. The drug should be taken before breakfast and lunch and not within 6 hours of sleeping.)
What would indicate to the nurse that the child taking methylphenidate (a stimulant) requires more teaching? A. The child is seen drinking a cola product. B. The child checks his weight twice a week. C. The child takes the drug 45 minutes before a meal. D. The child takes the drug before breakfast and lunch.
D (Intelligence is usually not affected by ADHD. The CSF of children with ADHD is not affected. Children with ADHD often have learning disabilities. Children with ADHD often have abnormal EEG studies.)
When providing teaching to a group of parents regarding attention-deficit/hyperactivity disorder (ADHD), which information will the nurse include? A. Children with ADHD have low intelligence. B. Children with ADHD have an infection in their spinal fluid. C. EEG results are typically normal in children with ADHD. D. Learning disabilities are often present in the child who has ADHD.
Amphetamine/Dextroamphetamine (Adderall)
class: stimulant -indications: ADHD and narcolepsy -action: Stimulates the release of norepinephrine and dopamine -S/E: restlessness, irritability, confusion, euphoria, insomnia, tachycardia, palpitations, weight loss -BBW: high abuse potential, may cause sudden death or serious CV events -take first dose in the morning and last dose at least 6 hrs before bed -take 30-45 min before meals to minimize appetite suppressing effects. -Schedule II
amphetamine related
Methylphenidate (ritalin) is a _____________________ (drug class). -used for ADHD
stimulants
Misuse and abuse of __________________ often occurs when people who want to combat fatigue and delay sleep, such as long-distance drivers, students, and athletes, take the drugs.
amphetamine related
Modafinil (Provigil) is a _____________ (drug class). -used for narcolepsy
