Professional Documents
Culture Documents
ADHD Drugs
ADHD Drugs
ADHD
MEDICATION
NURSING
IMPLICATIONS
SIDE EFFECTS
PATIENT TEACHING
Ritalin
(Methylphenidate)
Ther. class: central
nervous system
stimulants
Action: increased
attention span in
ADHD
-hyperactivity
-insomnia
-restlessness
-tremor
-behavioral
disturbances
-dizziness
-hallucinations
-headache
-irritability
-mania
-thought disorder
-blurred vision
-SUDDEN DEATH
-hypertension
-palpitations
-tachycardia
-hypotension
-anorexia
-constipation
-cramps
-diarrhea
-metallic taste
-nausea
-vomiting
-contact
sensitization
(erythema, edema,
papules, vesciles)
(transdermal),
erythema, rashes
-growth suppression
-weight loss (may
occur with prolonged
use
-fever
-hypersensitivity
reactions
-physical
dependence
-psychological
dependence
-tolerancne
MEDICATION
NURSING
IMPLICATIONS
SIDE EFFECTS
PATIENT TEACHING
Concerta
(Methylphenidate HCL)
-sustained release
Ther. class: central
nervous system
stimulants
Action: increased
attention span in
ADHD
-hyperactivity
-insomnia
-restlessness
-tremor
-behavioral
disturbances
-dizziness
-hallucinations
-headache
-irritability
-mania
-thought disorder
-blurred vision
-SUDDEN DEATH
-hypertension
-palpitations
-tachycardia
-hypotension
-anorexia
-constipation
-cramps
-diarrhea
-metallic taste
-nausea
-vomiting
-contact
sensitization
(erythema, edema,
papules, vesciles)
(transdermal),
erythema, rashes
-growth suppression
-weight loss (may
occur with prolonged
use
-fever
-hypersensitivity
reactions
-physical
dependence
-psychological
dependence
-tolerancne
-thrombocytopenia
-thrombocytopenic
purpura
-leukopenia
-anemia
MEDICATION
NURSING
IMPLICATIONS
SIDE EFFECTS
PATIENT TEACHING
Adderal
(Amphetamine)
Ther. class: central
nervous system
stimulants
Action: increased
attention span in
ADHD
-hyperactivity
-insomnia
-restlessness
-tremor
-behavioral
disturbances
-dizziness
-irritability
-thought disorder
-SUDDEN DEATH
-palpitations
-tachycardia
-hypertension
-hypotension
-anorexia
-constipation
-cramps
-diarrhea
-dry mouth
-metallic taste
-nausea
-vomiting
-growth inhibition
(with long term use
in children
MEDICATION
NURSING
IMPLICATIONS
SIDE EFFECTS
PATIENT TEACHING
Dexedrine
(Dextroamphetamine)
Ther. class: central
nervous system
stimulants
Pharm. class:
amphetamines
Action: increased
attention span in
ADHD
-hyperactivity
-insomnia
-restlessness
-tremor
-behavioral
disturbances
-depression
-dizziness
-hallucinations
-headache
-irritability
-mania
-thought disorder
-SUDDEN DEATH
-palpitations
-tachycardia
-arrhythmias
-hypertension
-anorexia
-constipation
-cramps
-diarrhea
-dry mouth
-metallic taste
-nausea
-vomiting
-physical
dependence
-psychological
dependence
MEDICATION
NURSING
IMPLICATIONS
SIDE EFFECTS
PATIENT TEACHING
Strattera
(Atomoxetine)
Ther. class: agents for
attention deficit
disorder
Pharm. class: selective
norepinephrine
reuptake inhibitors
Action: increased
attention span
-assess attention
span, impulse
control, &
interactions with
others
-monitor BP & pulse
periodically during
therapy
-monitor growth,
body height, &
weight in children
-assess for signs of
liver injury (pruritis,
dark urine, jaundice,
RUQ tenderness,
unexplained "flu-like
symptoms" during
therapy
-do not restart drug
in patients
w/jaundice or
laboratory evidence
of liver injury
-monitor closely for
notable changes in
behavior that could
indicate the
emergence or
worsening of suicidal
thoughts or behavior
or depression
-SUICIDAL
THOUGHTS
-dizziness
-fatigue
-mood swings
-behavioral
disturbances
-hallucinations
-mania
-thought disorder
-hypertension
-orthostatic
hypotension
-syncope
-tachycardia
-dyspepsia
-severe liver injury
(rare)
-nausea
-vomiting
-decreased appetite
-weight/growth loss
-ALLERGIC
REACTIONS
INCLUDING
ANGIONEUROTIC
EDEMA &
ANAPHYLAXIS