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Mental Health kids

Mental health kids MEDS

QuestionAnswer
Headache, insomnia, dizziness. Abdominal pain, constipation, N, V, decreased appetite, dry mouth, flatulence. cough Atomoxetine hydrochloride (Strattera)
Atomoxetine hydrochloride (Strattera) Antidepressant SNRI
Nursing considerations. Worsening condition, agitation, irritability, suicidal ideation or behavior, Unusual behavior esp first months of TX. Growth or weight gain. Atomoxetine hydrochloride (Strattera)
Alert!! Liver failure: jaundice, prurutis, URQ tenderness them on flulike syndrome). Monitor BP and Pulse. Drug can be stopped without tapering. Caution operating vehicles Atomoxetine hydrochloride (Strattera)
Headache, anxiety, feeling jittery. Tachycardia. Blurred vision. Anorexia, abdominal pain, nausea Dexmethylphenidate hydrochloride (Focalin also a ER)
Dexmethylphenidate hydrochloride (Focalin also a ER) CNS stimulant
Nursing considerations. PT HX, family HX for mental disorders, suicide, ventricular arrhythmias or sudden-death. Take before 6 PM D/T insomnia. Do not crush. Take drugs same time every day!!! CBC, diff and platelet count. Growth or weight gain. BP pulse Dexmethylphenidate hydrochloride (Focalin also a ER)
Amphetamine. Misuse can lead to serious effects including death Dexmethylphenidate hydrochloride (Focalin also a ER)
Insomnia, nervousness, restlessness, dizzy, overstimulation. Tachycardia, palpitations, arrhythmias, HTN. Dry mouth, taste perversion, D, weight loss, impotence Dextroamphetamine (Dexedrine, Dexedrine Spansule, DextroStat)
Amphetamine Dextroamphetamine (Dexedrine, Dexedrine Spansule, DextroStat)
Narcolepsy. ADHD Dextroamphetamine (Dexedrine, Dexedrine Spansule, DextroStat)
Nursing considerations. PT HX, family HX for mental disorders, suicide, ventricular arrhythmias or sudden-death. Give at least six hours before HS. Can cause dependents/abuse!!!! Give lowest AMT to reduce risk of overdose Dextroamphetamine (Dexedrine, Dexedrine Spansule, DextroStat)
Alert!!! Misuse can lead to cardiovascular adversity vents, including sudden-death. Avoid activities requiring alertness. Make it tired is drug effects wear off. Report S&S of excessive stimulation. Tell parents kid can show increased aggression or Hostil Dextroamphetamine (Dexedrine, Dexedrine Spansule, DextroStat)
Dizzy, irritability, insomnia. Palpitations, tachycardia, HTN. Upper ABD pain, decreased appetite, dry mouth, N, V, weight-loss Lisdexamfetamine diimesylate (Vyvanse)
Dizzy, irritability, insomnia, palpitations, tachycardia, HTN, upper ABD pain, decreased appetite, dry mouth, N, V, Weight loss Lisdexamfetamine diimesylate (Vyvanse)
One dose daily in a.m. w/no regard to food. Take drugs at same time a day!!! Growth and wait game. Give lowest Amt to reduce overdose. Lisdexamfetamine diimesylate (Vyvanse)
Amphetamines misuse can cause cardiovascular adverse events and sudden-death. Avoid activities requiring alertness. Report S&S of excessive stimulation Lisdexamfetamine diimesylate (Vyvanse)
Methylenidate hydrochloride (Concerta, Metadate [ER/CD], Methylin, Ritalin [LA/SR], methylphenidate transdermal [Daytrana]) CNS stimulant
Nervousness, headache, insomnia, HTN, hypotension. Tachycardia, bradycardia. Thrombocytopenia, thrombocytopenic purpura, leukopenia. Exfoliative dermatitis, erythema multiforme Methylenidate hydrochloride (Concerta, Metadate [ER/CD], Methylin, Ritalin [LA/SR], methylphenidate transdermal [Daytrana])
take 6 hours before HS and after meals to reduce appetite suppressant. Drug can trigger Tourette syndrome. Take chewable tablet w/at least 8 oz of water (Insufficient H2O cause tablet to swell and blocking throat >>>choking) Methylenidate hydrochloride (Concerta, Metadate [ER/CD], Methylin, Ritalin [LA/SR], methylphenidate transdermal [Daytrana])
Check CBC, diff and platelets W/long-term. Hemotolic toxicity syndrome (Fever, sore throat, easy bruising). Monitor height and weight W/long-term and for tolerance or dependence. Methylenidate hydrochloride (Concerta, Metadate [ER/CD], Methylin, Ritalin [LA/SR], methylphenidate transdermal [Daytrana])
Overstimulation, restless, dizzy, insomnia. Palpitations, tachycardia, HTN. Dry mouth, unpleasant taste, N, C, anorexia, weight loss. Impotence Mixed amphetamine salts (dextroamphetamine and amphetamine; Adderall [XL])
Mixed amphetamine salts (dextroamphetamine and amphetamine; Adderall [XL]) Amphetamine
Take first dose early in a.m. upon awakening. Family/pt hx for mental disorders, suicide, ventricular arrhythmia, or sudden-death. Hi potential for abuse/dependence!!! Give lowest AMT to reduce risk of overdose. Mixed amphetamine salts (dextroamphetamine and amphetamine; Adderall [XL])
Misuse of amphetamines can cause cardiovascular adverse events including sudden-death. Avoid activities requiring alertness. Report S&S of excessive stimulation. Teach: kid can show increased aggression or hostility and report worsening behavior Mixed amphetamine salts (dextroamphetamine and amphetamine; Adderall [XL])
Headache, nervous, dizzy, insomnia. Arrhythmia, hypotension. Rhinitis. N, D, dry mouth, anorexia Modanifil (Provigil)
Modanifil (Provigil) CNS Stimulant
Monitor BP closely. Esp W/HTN. Food can Delay absorption by one hour. Contraceptives can reduce effectiveness. Ask HCP about using OTC's. Avoid alcohol avoid activities requiring alertness. Modanifil (Provigil)
Insomnia, headache, dizziness, somnolence. Anorexia, weight loss, N, ABD discomfort, elevated liver enzymes Modanifil (Provigil)
Give single-dose EA in a.m. Re-eval for prolonged use. Monitor growth. Monitor liver fx test every two weeks W/long-term >>>Liver failure. Give smallest amount to reduce overdose. Caution when operating machinery Modanifil (Provigil)
Created by: srchilds