The parent of a child who is taking amphetamine (Adderall) to ...

[tth]

The parent of a child who is taking amphetamine (Adderall) to treat attention deficit/hyperactivity disorder (ADHD) asks the provider to recommend an over-the-counter medication to treat a cold. What will the nurse tell the parent?
 
  a. Avoid any products containing pseudoephedrine or caffeine.
  b. Never give over-the-counter medications with Adderall.
  c. Sudafed is a safe and effective decongestant.
  d. Use any over-the-counter medication from the local pharmacy.

Question 2

The parent of an adolescent who has taken methylphenidate 20 mg/day for 6 months for attention deficit/hyperactivity disorder (ADHD) brings the child to clinic for evaluation of a recent onset of nausea, vomiting, and headaches.
 
  The parent expresses concern that the child seems less focused and more hyperactive than before. What will the nurse do next?
  a. Ask the child whether the drug is being taken as prescribed.
  b. Contact the provider to discuss increasing the dose to 30 mg/day.
  c. Recommend taking the drug with meals to reduce gastrointestinal side effects.
  d. Report signs of drug toxicity to the patient's provider.

[mcinincha279]

Answer to Question 1

ANS: A
Adderall is a stimulant, so other stimulants, such as caffeine and pseudoephedrine, should be avoided because a high plasma caffeine level can be fatal.

Answer to Question 2

ANS: A
Nausea, vomiting, and headaches can occur with drug withdrawal, along with a recurrence of symptoms. The nurse should ask the child about drug compliance. Methylphenidate should be taken 30 to 45 minutes before meals, not with meals.

[tth]

TYSM

[kswal303]

Gracias!