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26 Cards in this Set

  • Front
  • Back
Name 5 CNS stimulants?
amphetamine
dexmethylphenidate
dextroamphetamine
methylphenidate
pemoline
delete
delete
CNS stimulants are used in the treatment of _____ and as adjunctive treatment in the management of ADHD.
narcolepsy
CNS stimulants produce CNS stimulation by increasing the levels of _____ in the CNS.
neurotransmitters
CNS stimulants produce six therapeutic conditions?
CNS stimulation
respiratory stimulation
dilated pupils
increased motor activity
mental alertness
diminished sense of fatigue
In children with ADHD, CNS stimulants decrease _____ and increase attention span.
restlessness
CNS stimulants should not be used in ____ or ____ women.
pregnant
lactating
CNS stimulants should not be used in hyperexcitable states. Avoid using in patients with psychotic personalities or suicidal-homicidal tendencies. Contraindicated in _______ and severe ______disease.
glaucoma
CARDIOVASCULAR
What conditions should CNS stimulants be used cautiously in? (4)
CARDIOVASCULAR DISEASE
hypertension
diabetes mellitus
elderly or debilitated
patients
Continual use may result in psychological _____ or _____.
dependence
addiction
CNS stimulants have additive _____.
sympathomimetic (adrenergic effects)
Use with MAO inhibitors can result in ______ crises.
hypertensive
Alkalinizing the urine (name 2 agents)decreases excretion and enhances effects of amphetamines.
sodium bicarbonate
acetazolamide
Acidification of the urine (name 2 agents) decreases the effect of amphetamines. Phenothiazines may also decrease effects.
ammonium chloride
large doses of ascorbic acid
Methylphenidate may decrease the metabolism and increase effects of these 3 drugs?
warfarin
anticonvulsants
tricyclic antidepressants
What 3 vital signs should be monitored before administering and periodically during therapy?
blood pressure
pulse
respirations
Monitor _____ biweekly and inform hcp of significant loss.
weight
Monitor ____ periodically in children; inform hcp if growth inhibition occurs.
height
May produce false sense of ____ and well-being. Provide frequent rest periods and observe patient for ______ depression after the effects of the medication have worn off.
euphoria
rebound
In ADHD cases, assess attention span, impulse control, and interactions with others in children. Therapy may be interrupted at intervals to determine if symptoms are sufficient to warrant continued therapy.
okay
Two potential nursing diagnoses?
Thought processes, altered
(side effects)
Knowledge deficit, related to
medication regimen
Instruct patient not to alter dose without consulting hcp. These medications have high dependence and abuse potential. Abrupt cessation with high doses may cause extreme ____ and mental depression.
fatigue
Advise patient to avoid intake of large amounts of _____.
caffeine
Medication may impair judgment. Caution patient to avoid driving or other activities requiring judgment until response to medication known.
okay
Inform patient that periodic ____ from the drug may be used to assess progress and decrease dependence.
holidays
Two clinical response indicated by?
decreased frequency of
narcoleptic episodes
improved attention span and
social interactions