Precautions C N S stimulants

Precautions

C N S stimulants

• Use caution in children with psychoses; clients with Tourette’s disorder, anorexia, or insomnia; elderly, debilitated, or asthenic clients; and clients with a history of suicidal or homicidal tendencies; prolonged use may result in tolerance and physical or psychological dependence.

Dexmethylphenidate and methylphenidate

• Effects of concomitant use
• Hypertensive crisis may occur with coadministration of M A O I’s

Atomoxetine and bupropion

• Use caution in clients with urinary retention; hepatic, renal, or cardiovascular disease; suicidal clients; pregnancy; and elderly and debilitated clients.

Alpha agonists

• Use caution in clients with coronary insufficiency, recent M I, or cerebrovascular disease; in chronic renal or hepatic failure; the elderly; and in pregnant clients and those lactating.

Nursing diagnosis

• Risk for injury
• Risk for suicide
• Imbalanced nutrition
• Insomnia
• Nausea related to side effects of atomoxetine or bupropion
• Pain related to side effects of abdominal pain with atomoxetine or bupropion or headache
• Risk for activity intolerance

Planning/Implementation

• Monitor client for the following side effects:

• Overstimulation, restlessness, insomnia, palpitations, tachycardia, anorexia, weight loss, tolerance, physical and psychological dependence, nausea and vomiting, constipation, dry mouth, sedation or rebound syndrome, potential for seizures, liver damage, and new or worsened psychiatric symptoms