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Psychiatric Meds.

Medications for Children and Adolescents with Mental Health Issues

QuestionAnswer
What are the different CNS Stimulants? Methylphenidate (Ritalin, Methylin); Dexmethylphenidate (Focalin); Dextroamphetamine (Dexedrine); Amphetamine Mixture (Adderall)
What are the therapeutic uses for CNS Stimulants? ADHD Conduct Disorders
What are the side/adverse effects of CNS Stimulants? CNS Stimulation (insomnia, restlessness); Weight loss; Cardiovascular effects; Development of psychotic symptoms; Withdrawal reaction; Hypersensitivity skin reaction
Contraindications of CNS Stimulants Contraindicated in clients with a history of drug abuse, cardiovascular disorders, severe anxiety, and psychosis.
Interactions with CNS Stimulants MAOIs--can cause hypertensive crisis Caffeine- Phenytoin (Dilantin), warfarin (Coumadin), and phenobarbital-- leads to increased serum levels OTC cold and decongestant meds
Nursing administration for CNS Stimulants Place patch on one hip daily in the morning, and leave it in place no longer than 9 hours. These medications have a high potential for abuse.
What is the Norepinephrine Selective Reuptake Inhibitor(NSRI)for children? Atomoxetine (Strattera)
What is the therapeutic use for Strattera? ADHD
What are the side/adverse effects for Strattera? Appetite supression (weight loss); GI effects; SUICIDAL IDEATION; hepatotoxicity
Interactions with Strattera MAOIs--can cause hypertensive crisis
Nursing Administration for Strattera Administer the medication in one daily dose in the AM or in 2 divided doses, morning and afternoon. The therapeutic effect may take 1-3 weeks to fully develop.
Created by: j_bressette
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