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vo adams_ch28_lecture

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Education

Published on February 27, 2014

Author: ritapeters

Source: authorstream.com

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Chap 28: Central Nervous System Stimulants and drugs for Attention Deficit/Hyperactivity Disorder.: Chap 28: Central Nervous System Stimulants and drugs for Attention Deficit/Hyperactivity Disorder. Learning Outcomes: Describe the general actions and pharmacotherapeutic applications of central nervous system stimulants. Identify the signs and symptoms of attention deficit/hyperactivity disorder and narcolepsy. Compare and contrast the central nervous system stimulants and nonstimulants in treating attention deficit/hyperactivity disorder. Compare and contrast the different pharmacotherapies available for narcolepsy. Learning Outcomes Learning Outcomes: Describe the nurse’ s role in the pharmacologic management of attention deficit/hyperactivity disorder and narcolepsy. For each class shown in the chapter outline, identify the prototype and representative drugs and explain the mechanism(s) of drug action, primary indications, contraindications, significant drug interactions, pregnancy category, and important adverse effects. Learning Outcomes Learning Outcomes: Apply the nursing process to care for patients receiving central nervous system stimulants. Learning Outcomes CNS Stimulants: Therapeutic uses Side effects CNS Stimulants ADHD: Etiology ADHD Treatment of ADHD: Amphetamines Nonstimulants Tricyclic antidepressants (TCAs) Other antidepressants: Wellbutrin Treatment of ADHD Prototype Drug: Amphetamine and Dextroamphetamine (Adderall): Therapeutic classification Pharmacologic classification Pregnancy category C Mechanism of action Indications Precautions Prototype Drug: Amphetamine and Dextroamphetamine (Adderall) Prototype Drug: Amphetamine and Dextroamphetamine (Adderall): Contraindications Drug interactions Decreased elimination Increased elimination Increased blood pressure effects Antagonize antihypertensive effects Hypertensive crisis Prototype Drug: Amphetamine and Dextroamphetamine (Adderall) Prototype Drug: Amphetamine and Dextroamphetamine (Adderall): Adverse effects Nursing responsibilities Serious adverse effects Prototype Drug: Amphetamine and Dextroamphetamine (Adderall) Similar Drugs to Amphetamine Sulfate : Dexmethylphenidate (Focalin) Lisdexamfetamine (Vyvanse) Methylphenidate (Concerta, Daytrana, Metadate, Methylin, Ritalin) Similar Drugs to Amphetamine Sulfate Prototype Drug Atomoxetine (Strattera): Therapeutic classification Pharmacologic classification Pregnancy category C Prototype Drug Atomoxetine (Strattera) Prototype Drug Atomoxetine (Strattera): Mechanism of action Indications Precautions Contraindications Prototype Drug Atomoxetine (Strattera) Prototype Drug Atomoxetine (Strattera): Drug interactions Prolonged elimination Increased heart rate, hypertension Adverse effects Serious adverse effects Nursing responsibilities Prototype Drug Atomoxetine (Strattera) Pharmacotherapy of Narcolepsy: Pharmacotherapy of Narcolepsy 28.5 Narcolepsy is characterized by excessive daytime sleepiness and is treated with central nervous system stimulants and antidepressants. Narcolepsy: Four symptoms Sleep attacks Cataplexy Sleep paralysis Hypnagogic hallucinations Narcolepsy Treatment of Narcolepsy: CNS stimulants Antidepressants used off-label Only FDA approved agent Treatment of Narcolepsy Prototype Drug: Modafinil (Provigil): Therapeutic classification Pharmacologic classification Pregnancy category C Mechanism of action Indications Precautions Prototype Drug: Modafinil (Provigil) Prototype Drug: Modafinil (Provigil): Contraindications Drug interactions Adverse effects Nursing responsibilities Prototype Drug: Modafinil (Provigil) Similar Drugs to Modafinil: Armodafinil (Nuvigil) Sodium oxybate (Xyrem) Similar Drugs to Modafinil Methylxanthines: Used for COPD, asthma, restrictive lung disorders Relax bronchial smooth muscle Caffeine Theophylline Theobromine Natural substance in chocolate Methylxanthines Prototype Drug: Caffeine: Therapeutic classification Pharmacologic classification Pregnancy category B Mechanism of action Indications Precautions Prototype Drug: Caffeine Prototype Drug: Caffeine: Contraindications Drug interactions Adverse effects Nursing responsibilities Prototype Drug: Caffeine Similar Drugs to Caffeine: Theophylline For acute bronchospasm Monitor closely for toxicity Causes restlessness, irritability, insomnia Similar Drugs to Caffeine

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