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nurse implication
take 4-6 hrs before bedtime → no insomnia
empty stomach → 3-45 min before meal
drug holiday
monitor children
height
weight
physical growth
therapeutic effect
↓ hyperactivity
↑ attention
↑ concentration
methylphenidate
amphetamine
↑ ALERTNESS, controlled substance
2-3 wks full effect
contraindication:
cardiac abnorm
MAOI use
methylphenidate inf
MOA:
stimulate areas of brain with mental alertness
↑ NE, dopamine, serotonin
use:
ADHD
narcolepsy
obesity
AE:
CV
tachycardia
HTN
dysrhythmia
CNS
insomnia
restlessness
sedation
GI
weight loss
dry mouth
increase urinary freq