Methylphenidate (Concerta) Nursing Considerations
Included In This Lesson
Study Tools For Methylphenidate (Concerta) Nursing Considerations
Outline
Generic Name
methylphenidate
Trade Name
Ritalin, Concerta
Indication
ADHD, narcolepsy
Action
improves attention span in ADHD by producing CNS stimulation
Therapeutic Class
central nervous system stimulant
Pharmacologic Class
none
Nursing Considerations
• can cause sudden death, hypertension, palpitations, anorexia, hyperactivity, insomnia
• may decrease effects of Warfarin and Phenytoin
• do not use with MAOIs
• monitor cardiovascular system
• monitor for behavioral changes
• monitor for dependence
• do not consume caffeinated beverages
“Drug Holiday” used to assess dependence and status
Transcript
Hey guys, let’s talk about methylate, also known as Concerta or Ritalin. This is an oral medication, as you can see here, and it also comes in a patch form. So the therapeutic class of a methylate is a central nervous, some stimulant. And remember, this is how the drug works in the body. The pharmacologic class of methylate is a CNS stimulant. And remember, this is the chemical effect of the drug. So methylate works by improving attention span and ADHD, and it produces CNS stimulation. So we use methylate for attention deficit hyperactivity disorder, and also for the treatment of narcolepsy. The side effects that we see with methylate are palpitations, anorexia, insomnia and hypertension.
So methyl may cause hyperactivity and even cause sudden death. So when your patient is on methylate, be sure to monitor their cardiovascular system, any behavior changes and also their dependence to the drug. There are some drug interactions with methylate that include deep increasing the effects of warfarin and Feni toin and do not use with Mao eyes. Be sure to teach your patient to not consume caffeinated beverages while on this drug, as these can increase the simulation. So guys, intermittent drug holidays are used with methylate to assess the status of the HD H a D HD, and also to assess the level of dependence in the patient. And also guys with the transdermal or patch form, there have been cases where the skin pigment is lost under and around that patch. So don’t be surprised if you come across cross or see this, that’s it for methylate or Concerta or Ritalin now go out and be your best self today. And as always happy nursing.
Plan 1
Concepts Covered:
- Cardiovascular
- Emergency Care of the Cardiac Patient
- Cardiac Disorders
- Circulatory System
- Nervous System
- Skeletal System
- Shock
- Shock
- Disorders of the Posterior Pituitary Gland
- Endocrine
- Disorders of Pancreas
- Disorders of the Thyroid & Parathyroid Glands
- Hematology
- Gastrointestinal
- Upper GI Disorders
- Liver & Gallbladder Disorders
- Newborn Complications
- Lower GI Disorders
- Multisystem
- Neurological
- Central Nervous System Disorders – Brain
- Renal
- Respiratory
- Urinary System
- Respiratory System
- Noninfectious Respiratory Disorder
- Test Taking Strategies
- Note Taking
- Basics of NCLEX
- Prefixes
- Suffixes
- Medication Administration
- Gastrointestinal Disorders
- Respiratory Disorders
- Pregnancy Risks
- Labor Complications
- Hematologic Disorders
- Fundamentals of Emergency Nursing
- Factors Influencing Community Health
- Delegation
- Perioperative Nursing Roles
- EENT Disorders
- Basics of Chemistry
- Adult
- Emergency Care of the Neurological Patient
- Acute & Chronic Renal Disorders
- Emergency Care of the Respiratory Patient
- Respiratory Emergencies
- Studying
- Substance Abuse Disorders
- Disorders of the Adrenal Gland
- Behavior
- Documentation and Communication
- Preoperative Nursing
- Endocrine System
- Legal and Ethical Issues
- Communication
- Understanding Society
- Immunological Disorders
- Infectious Disease Disorders
- Oncology Disorders
- Female Reproductive Disorders
- Fetal Development
- Terminology
- Anxiety Disorders
- Cognitive Disorders
- Musculoskeletal Trauma
- Intraoperative Nursing
- Tissues and Glands
- Vascular Disorders
- Renal Disorders
- Eating Disorders
- Prenatal Concepts
- Microbiology
- Male Reproductive Disorders
- Sexually Transmitted Infections
- Infectious Respiratory Disorder
- Depressive Disorders
- Personality Disorders
- Psychotic Disorders
- Trauma-Stress Disorders
- Peripheral Nervous System Disorders
- Integumentary Disorders
- Neurologic and Cognitive Disorders
- Integumentary Disorders
- Newborn Care
- Basics of Mathematics
- Statistics
- Labor and Delivery
- Proteins
- Emergency Care of the Trauma Patient
- Hematologic System
- Hematologic Disorders
- Developmental Considerations
- Digestive System
- Urinary Disorders
- Postpartum Care
- Basic
- Musculoskeletal Disorders
- Bipolar Disorders
- Metabolism
- Cardiovascular Disorders
- Concepts of Population Health
- Musculoskeletal Disorders
- EENT Disorders
- Postpartum Complications
- Basics of Human Biology
- Postoperative Nursing
- Neurological Emergencies
- Prioritization
- Disorders of Thermoregulation
- Writing
- Community Health Overview
- Dosage Calculations
- Neurological Trauma
- Concepts of Mental Health
- Health & Stress
- Endocrine and Metabolic Disorders
- Childhood Growth and Development
- Prenatal and Neonatal Growth and Development
- Concepts of Pharmacology
- Integumentary Important Points
- Emotions and Motivation
- Renal and Urinary Disorders
- Developmental Theories
- Reproductive System
- Adulthood Growth and Development
- Psychological Emergencies
- Growth & Development
- Basics of Sociology
- Somatoform Disorders
- Reading
- Intelligence and Language
- Oncologic Disorders
- Med Term Basic
- Med Term Whole
- Central Nervous System Disorders – Spinal Cord
- Muscular System
- Neonatal
- Learning Pharmacology
- Pediatric
- Psychological Disorders
- State of Consciousness
- Sensory System