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26 Cards in this Set
- Front
- Back
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Name 5 CNS stimulants?
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amphetamine
dexmethylphenidate dextroamphetamine methylphenidate pemoline |
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delete
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delete
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CNS stimulants are used in the treatment of _____ and as adjunctive treatment in the management of ADHD.
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narcolepsy
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CNS stimulants produce CNS stimulation by increasing the levels of _____ in the CNS.
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neurotransmitters
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CNS stimulants produce six therapeutic conditions?
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CNS stimulation
respiratory stimulation dilated pupils increased motor activity mental alertness diminished sense of fatigue |
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In children with ADHD, CNS stimulants decrease _____ and increase attention span.
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restlessness
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CNS stimulants should not be used in ____ or ____ women.
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pregnant
lactating |
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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.
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glaucoma
CARDIOVASCULAR |
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What conditions should CNS stimulants be used cautiously in? (4)
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CARDIOVASCULAR DISEASE
hypertension diabetes mellitus elderly or debilitated patients |
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Continual use may result in psychological _____ or _____.
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dependence
addiction |
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CNS stimulants have additive _____.
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sympathomimetic (adrenergic effects)
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Use with MAO inhibitors can result in ______ crises.
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hypertensive
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Alkalinizing the urine (name 2 agents)decreases excretion and enhances effects of amphetamines.
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sodium bicarbonate
acetazolamide |
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Acidification of the urine (name 2 agents) decreases the effect of amphetamines. Phenothiazines may also decrease effects.
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ammonium chloride
large doses of ascorbic acid |
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Methylphenidate may decrease the metabolism and increase effects of these 3 drugs?
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warfarin
anticonvulsants tricyclic antidepressants |
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What 3 vital signs should be monitored before administering and periodically during therapy?
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blood pressure
pulse respirations |
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Monitor _____ biweekly and inform hcp of significant loss.
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weight
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Monitor ____ periodically in children; inform hcp if growth inhibition occurs.
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height
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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.
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euphoria
rebound |
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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.
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okay
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Two potential nursing diagnoses?
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Thought processes, altered
(side effects) Knowledge deficit, related to medication regimen |
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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.
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fatigue
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Advise patient to avoid intake of large amounts of _____.
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caffeine
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Medication may impair judgment. Caution patient to avoid driving or other activities requiring judgment until response to medication known.
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okay
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Inform patient that periodic ____ from the drug may be used to assess progress and decrease dependence.
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holidays
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Two clinical response indicated by?
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decreased frequency of
narcoleptic episodes improved attention span and social interactions |
