Questions and Answers
What is the classification of methylphenidate?
What are the indications for methylphenidate?
Treatment of ADHD (adjunct) and symptomatic treatment of narcolepsy.
What is the action of methylphenidate?
Produces CNS and respiratory stimulation with weak sympathomimetic activity, increased attention span in ADHD.
Which of the following are side effects of methylphenidate? (Select all that apply)
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What nursing implications should be considered for patients on methylphenidate?
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What is a key teaching point for patients taking methylphenidate?
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Study Notes
Methylphenidate Overview
- Classified as a central nervous system stimulant, used primarily to enhance focus and reduce impulsivity in ADHD.
- Also indicated for the oral symptomatic treatment of narcolepsy.
Mechanism of Action
- Produces stimulation in the CNS and respiratory systems with minimal sympathomimetic activity.
- Increases attention span and focus in patients with ADHD.
Side Effects
- Common side effects include hyperactivity, insomnia, restlessness, and tremors.
- Serious reactions can include sudden death, hypertension, palpitations, and tachycardia.
- Appetite suppression (anorexia) may occur.
Nursing Implications
- Regularly monitor blood pressure, pulse, and respiration rates.
- Observe any behavioral changes during treatment.
- In pediatric patients, track growth (height and weight) during extended therapy, given the potential for growth suppression.
- Recognize the medication's high potential for dependence and abuse, including possible feelings of euphoria.
- Monitor for rebounds in depression when therapy is interrupted; adjustments to the regimen may be necessary.
Patient Teaching
- Administer immediate-release and sustained-release tablets on an empty stomach, ideally 30-45 minutes before meals.
- Advise taking the last dose no later than 6 PM to reduce sleep disturbances.
- Encourage patients to check their weight two to three times weekly to monitor for significant changes.
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Description
This quiz provides an overview of Methylphenidate, a CNS stimulant used primarily for ADHD treatment. Understand its mechanism of action, common side effects, and essential nursing implications for monitoring patients. Suitable for healthcare professionals and students in medical fields.
