(3) New NSG 552 Exam Questions And Answers

What are ADHD stimulant medications? - ANS Methylphenidate (Ritalin); Dextromethylphenidate (Focalin); Dextroamphetamine/Amphetamine (Adderrall); Lisdexamfetamine (Vyvanse) Methylphenidate (Ritalin) - ANS 1st line stimulant; Don't give with preexisting heart disease Methylphenidate (Ritalin) Mechanism of Action - ANS Boosts DE, NE, SA What ADHD stimulant medication is FDA approved for ages 6 and up? - ANS Methylphenidate (Ritalin) Methylphenidate (Ritalin) Signs and Symptoms - ANS Loss of appetite; Headache; Insomnia; Weight loss; Stomachache Methylphenidate (Ritalin) short acting hours - ANS 3-4 hours Methylphenidate (Ritalin) long acting hours - ANS 8-10 hours Methylphenidate (Ritalin) monitoring - ANS Height, weight, blood pressure quaterly What can Methylphenidate (Ritalin) restrict? - ANS Height and weight Dextromethylphenidate (Focalin) - ANS Stimulant medication that may be good for kids with bad side effects from Ritalin Dextromethylphenidate (Focalin) short acting hours - ANS 4-6 hours What ADHD stimulant medication is FDA approved for ages 3 and up? - ANS Dextromethylphenidate (Focalin) Dextromethylphenidate (Focalin) Side Effects - ANS Loss of appetite; Headache; Insomnia; Weight loss; Stomachache; Increased blood pressure; Tics; Psychosis Dextroamphetamine/Amphetamine (Adderrall) short acting hours - ANS 4-6 hours Dextroamphetamine/Amphetamine (Adderrall) long acting hours (XL) - ANS 8-12 hours Lisdexamfetamine (Vyvanse) long acting hours - ANS 8-12 hours What are ADHD non-stimulant medications? - ANS Atomoxetine (Streterra); Bupropion (Wellbutrin); Imipramine or Nortriptyline; Clonidine or Guafancine What is the black box warning for Atomoxetine (Streterra)? - ANS Suicidal ideation thinking What ADHD non- stimulant medication is FDA approved for ages 6 and up? - ANS Atomoxetine (Streterra) What ADHD non- stimulant medication is liver toxic? - ANS Atomoxetine (Streterra); Will need LFTs What ADHD non-stimulant medication is not given with a seizure disorder, head trauma, or eating disorder? - ANS Bupropion (Wellbutrin) What non-stimulant medication has a decreased seizure threshold? - ANS Bupropion (Wellbutrin) What is observed with Imipramine or Nortriptyline? - ANS TCA (tricyclics) warnings What non-stimulant medication is lethal in overdose? - ANS Imipramine or Nortriptyline What non-stimulant medication is prescribed every week? - ANS Imipramine or Nortriptyline What are the 3 C's for Imipramine or Nortriptyline? - ANS Cardiotoxic; Convulsions; Coma What ADHD non-stimulant medication is not approved for adults? - ANS Clonidine or Guanfacine What is the mechanism of action for Clonidine or Guanfacine? - ANS Alpha 2 adrenergic agonist (BP medications) What does clonidine treat? - ANS Impulsivity and hyperactivity What do you watch for if clonidine is prescribed? - ANS Blood pressure What do you watch for if guanfacine is prescribed? - ANS Low blood pressure; Cardiac arrhythmias What is clonidine or guanfacine good for? - ANS Patients with preexisting tics. Can be prescribed alone or with other ADHD medications