Mental health kids MEDS
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| Headache, insomnia, dizziness. Abdominal pain, constipation, N, V, decreased appetite, dry mouth, flatulence. cough | Atomoxetine hydrochloride (Strattera)
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| Atomoxetine hydrochloride (Strattera) | Antidepressant SNRI
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| Nursing considerations. Worsening condition, agitation, irritability, suicidal ideation or behavior, Unusual behavior esp first months of TX. Growth or weight gain. | Atomoxetine hydrochloride (Strattera)
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| 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)
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| Headache, anxiety, feeling jittery. Tachycardia. Blurred vision. Anorexia, abdominal pain, nausea | Dexmethylphenidate hydrochloride (Focalin also a ER)
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| Dexmethylphenidate hydrochloride (Focalin also a ER) | CNS stimulant
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| 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)
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| Amphetamine. Misuse can lead to serious effects including death | Dexmethylphenidate hydrochloride (Focalin also a ER)
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| Insomnia, nervousness, restlessness, dizzy, overstimulation. Tachycardia, palpitations, arrhythmias, HTN. Dry mouth, taste perversion, D, weight loss, impotence | Dextroamphetamine (Dexedrine, Dexedrine Spansule, DextroStat)
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| Amphetamine | Dextroamphetamine (Dexedrine, Dexedrine Spansule, DextroStat)
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| Narcolepsy. ADHD | Dextroamphetamine (Dexedrine, Dexedrine Spansule, DextroStat)
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| 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)
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| 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)
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| Dizzy, irritability, insomnia. Palpitations, tachycardia, HTN. Upper ABD pain, decreased appetite, dry mouth, N, V, weight-loss | Lisdexamfetamine diimesylate (Vyvanse)
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| Dizzy, irritability, insomnia, palpitations, tachycardia, HTN, upper ABD pain, decreased appetite, dry mouth, N, V, Weight loss | Lisdexamfetamine diimesylate (Vyvanse)
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| 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)
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| Amphetamines misuse can cause cardiovascular adverse events and sudden-death. Avoid activities requiring alertness. Report S&S of excessive stimulation | Lisdexamfetamine diimesylate (Vyvanse)
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| Methylenidate hydrochloride (Concerta, Metadate [ER/CD], Methylin, Ritalin [LA/SR], methylphenidate transdermal [Daytrana]) | CNS stimulant
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| 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])
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| 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])
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| 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])
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| 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])
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| Mixed amphetamine salts (dextroamphetamine and amphetamine; Adderall [XL]) | Amphetamine
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| 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])
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| 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])
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| Headache, nervous, dizzy, insomnia. Arrhythmia, hypotension. Rhinitis. N, D, dry mouth, anorexia | Modanifil (Provigil)
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| Modanifil (Provigil) | CNS Stimulant
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| 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)
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| Insomnia, headache, dizziness, somnolence. Anorexia, weight loss, N, ABD discomfort, elevated liver enzymes | Modanifil (Provigil)
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| 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)
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