Discussion Topics, Chapter 22, Psychotherapeutic Agents
1. Juan Carlos, an 8-year-old, has received a diagnosis of attention deficit disorder and will be taking methylphenidate (Concerta) once a day. Juan Carlos’ mother wants to know how methylphenidate works and how to give the medication.
a. Develop a teaching plan for Juan Carlos and his mother on the administration and use of methylphenidate.
b. What are the adverse reactions associated with methylphenidate (Concerta)?
c. How does methylphenidate (Concerta) act to improve concentration in children with attention deficit disorder?
2. Mrs. Smith is a 76-year-old who has been taking lithium for over 40 years to prevent manic episodes. She presents with a concern that she is feeling “high” and is concerned that her lithium level is low. Nursing assessment reveals that Mrs. Smith has been taking psyllium that was recommended as an alternative treatment for constipation.
a. What effects does psyllium have on patients taking lithium, and what patient teaching should be done?
b. Explain the adverse effects seen in patients with the following lithium levels.
• Serum level < 1.5 mEq/L
• Serum level 1.5 to 2 mEq/L
• Serum level 2 to 2.5 mEq/L
• Serum level > 2.5 mEq/L