Nursing Drug List

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Chapter 19 CNS Stimulants

CLASS| MOA| NURSING DX| INDICATIONS| AE/SE| CONTRA| CUATION| INTERACTIONS| Analeptics| Stimulate resp center of brain CV system by the carotid arteries and upper aorta| Disturbed sleep pattern, ineffective breathing pattern, imbalanced nutrition| Narcolepsy, sleep apnea, resp. depression, deug-induced resp. depression, fatigue(caffine)| Excessive CNS stimulation, headache, dizziness, apprehension, disorientation, insominia, nausea, vomiting, cough, dyspnea, urinary retention, tachy, palpitations| Hypersensitivity, convulsive disorders, ventilation disorders (COPD), HTN, Hyperthyrodism, depression, do not give amphetamines and anorexoants concurrently, within 14 days of antidepressant, glaucoma, pregnancy (anorexiants class X)| Resp. illness, renal/hepatic impairment, substance abuse, pregnancy and lactation| Anesthetics- cardiac arrythmisa, theophylline – increased risk of hyperactive disorders, oral contraceptives – birth control, caffeine| Amphetamines| Stimulate CNS, adregenic| Disturbed sleep pattern, ineffective breathing pattern, imbalanced nutrition| ADHD, narcolepsy, obesity| Inc. BP; wakefulness; inc. HR, euphoria; same as above| Same| Same| Same| Anorexiants| Suppress appetite by stimulating the hypthalamus| Disturbed sleep pattern, ineffective breathing pattern, imbalanced nutrition| Obesity| Same as above| Same | Same| Same|

NURSING IMPLICATIONS
* Modafinil: analeptic; treats narcolepsy by binding to dopamine resulting in decrease in episodes * Caffeine: analeptic; Stimulates all levels of CNS; mild analeptic properties and cardiac stimulation; dilation of coronary and peripheral blood vessels, constriction of cerebral blood vessels; diuretic * Atomoxetine: ADHD; increased suicide ideation in PEDS

* Doxapram: urinary retention, measure I&O palpate for distended bladder * Amphetamines and Anorexiants have high potential for abuse; short term use * Resp....
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