Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Central Nervous System Stimulants
•
Actions
–
CNS stimulants act as cortical and RAS, possible by
increasing the release of catecholamines from
presynaptic neurons leading to an increase in
stimulation of the postsynaptic neurons
•
Indications
–
Treatment attention
–
deficit syndromes
–
Narcolepsy

Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Central Nervous System Stimulants
(cont.)
•
Pharmacokinetics
–
Rapidly absorbed from the GI tract
–
Peak 2-4 hours
–
Metabolized in the liver
–
Excreted in the urine
–
T ½ 2-15 hours
•
Contraindications
–
Known allergy, marked anxiety, agitation, or tension
and severe fatigue or glaucoma

Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Central Nervous System Stimulants
(cont.)
•
Adverse Effects
–
Nervousness, insomnia, dizziness, headache, blurred
vision, anorexia, nausea, weight loss
•
Drug-to-Drug Interactions
–
MAOI
’
s
–
Guanethidine
–
Tricyclic antidepressants
–
Phenytonin

Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Use of Psychotherapeutic Agents Across
the Lifespan

Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Prototype Typical Antipsychotic Drug

Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Prototype Atypical Antipsychotic Drug

Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Prototype Central Nervous System
Stimulants

Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Nursing Considerations for
Antipsychotic/Neuroleptic Drugs
•
Assessment: History and Physical Exam
•
Nursing Diagnosis
•
Implementation
•
Evaluation

Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Nursing Considerations for Antimanic
Drugs
•
Assessment: History and Physical Exam
•
Nursing Diagnosis
•
Implementation
•
Evaluation

Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Nursing Considerations for Central
Nervous System Stimulants
•
Assessment: History and Physical Exam
•
Nursing Diagnosis
•
Implementation
•
Evaluation
