Test #3 - Medications Flashcards Preview

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Flashcards in Test #3 - Medications Deck (14):
1

What is the therapeutic effect of Dextroamphetamine (Adderall)?


    Increased motor activity and mental alertness and decreased fatigue in narcoleptic patients.
 

   Increased attention span in ADHD.

2


What are some side effects of Adderall?


 hyperactivity, insomnia, restlessness, tremor, palpitations, tachycardia, anorexia

SUDDEN DEATH

3

What are some drug/herbal interactions with Adderall?


↑ adrenergic effects with other adrenergics.


Use with MAO inhibitors can result in hypertensive crisis.

May antagonize the response to antihypertensives.

     St. John's wort may ↑ serious side effects, concurrent use is not recommended.

    Use with caffeine-containing herbs ( guarana , tea, coffee) ↑ stimulant effect.

    St. John's wort may ↑ serious side effects, concurrent use is not recommended.

4

What are some interventions for Adderall?


Monitor weight biweekly and inform health care professional of significant loss.

 Monitor height periodically in children; report growth inhibition.

Assess child's attention span, impulse control, and interactions with others.

Instruct patient to take medication at least 6 hr before bedtime to avoid sleep disturbances.

5

What is the therapeutic effect of Methylphenidate (Ritalin)?

Increased attention span in ADHD.

6

What are some of the side effects of Ritalin?

hyperactivity

 insomnia

restlessness

tremor

hypertension

palpitations

tachycardia

anorexia, 

ANAPHYLAXIS, ANGIOEDEMA, SUDDEN DEATH

7

What are some drug/herbal interactions with Ritalin?

Metabolism of warfarin, phenytoin, phenobarbital, primidone, phenylbutazone, selective serotonin reuptake inhibitors, and tricyclic antidepressants may be ↓ and effects ↑.

May ↓ the effectiveness of antihypertensives.

Use with caffeine-containing herbs ( guarana , tea, coffee) ↑ stimulant effect.

St. John's wort may ↑ serious side effects (concurrent use is NOT recommended).

8

What are some interventions for Ritalin?

Monitor closely for behavior change.

Monitor growth, both height and weight, in children on long-term therapy.

May produce a false sense of euphoria and well-being. Provide frequent rest periods and observe patient for rebound depression after the effects of the medication have worn off.

Assess children for attention span, impulse control, and interactions with others. Therapy may be interrupted at intervals to determine whether symptoms are sufficient to continue therapy.

Administer immediate and sustained-release tablets on an empty stomach (30–45 min before a meal).

Abrupt cessation of high doses may cause extreme fatigue and mental depression. 

9

What pharm class is atomoxetine (Straterra) ?

selective norepinephrine reuptake inhibitors

10

What is the therapeutic effect of Straterra?

Increased attention span.

11

What is the action of Straterra?

Selectively inhibits the presynaptic transporter of norepinephrine.

12

What are some side effects of Straterra?

Dizziness

Fatigue

Mood Swings

Nausea

Vomiting

Constipation

Insomnia

Hypertension, Syncope, Tachycardia

Dysmenorrhea

Ejaculatory problems

Dec apetite

Dec libido

SUICIDAL THOUGHTS
HEPATOXICITY
ALLERGIC REACTION

13

What are some drug interactions with Straterra?

Concurrent use with MAO inhibitors may result in serious, potentially fatal reactions (do not use within 2 wk of each other).

↑ risk of cardiovascular effects with albuterol or vasopressors(use cautiously).

 

14

What are some interventions for Straterra?

Assess attention span, impulse control, and interactions with others.

Monitor growth, body height, and weight in children.

Monitor closely for notable changes in behavior that could indicate the emergence or worsening of suicidal thoughts or behavior or depression.

Advise patient to notify health care professional immediately if signs of liver injury occur.