Question

Andrew Flynn is an eight year old boy who is having more difficulty concentrating at school....

Andrew Flynn is an eight year old boy who is having more difficulty concentrating at school. He has had a neuropsych exam and it showed that the child has ADHD. Mother is anxious about starting medications on him. She would like a description of all the medications available for ADHD, what their actions are and side effects of all of the drugs. She has heard that he will need follow up laboratory studies and would like to know what they are for and how often.

His mother said his behavior has gotten to a point that the teacher is sending emails every day to the house on his inability to concentrate and his performance is poor. His mother says he is having trouble concentrating on homework in the evening time as well.  

She has noticed that his friends no longer call him to play. The soccer coach has asked that the parents stay during the practice as he is misbehaving and rough with the other children. When the mom asks Andrew about this behavior he does not realize he is doing any harm to the children. The mother is asking what treatment plans are available for this child and what other treatments might be helpful.

Data Obtained From Nursing Assessment

Weight 49 lbs, Height 48 inches

Mom complains he never stops moving

CONSIDER THE CORE DRUG KNOWLEDGE FOR EACH OF THESE DRUGS

Identify different treatment protocols for ADHD.

Identify what drugs would be used.

Discuss what lab data would be needed and how often.

Compare and contrast the different drugs implementation and precautions.

What patient teaching would be reviewed with the client?

CONSIDER THE CORE PATIENT VARIABLES FOR EACH OF THESE DRUGS

What patient variables are most important to consider for Andrew when assessing her drug therapy?

Are there any aspects of core drug knowledge that are especially relevant to consider because they may interact with the core patient variables?

Which of the findings from the nursing assessment demonstrate effectiveness of drug therapy?

Which of the findings from the nursing assessment demonstrate possible adverse effects from drug therapy?

CONSIDER THE NURSING MANAGEMENT NEEDED WITH THESE DRUG THERAPies

What actions are indicated to maximize therapeutic effects?

What actions are indicated to minimize adverse effects?

What teaching is required for Andrew regarding her drug therapy? Do you need any additional data to determine appropriate teaching?

0 0
Add a comment Improve this question Transcribed image text
Answer #1

different treatment protocols for ADHD

  • pharmacological
  • psychological therapy

Drugs to be used to treat Attention-deficit hyperactivity disorder

  • CNS stimulants: Dextroamphetamine, methylphenidate
  • Tricyclic antidepressants
  • Antipsychotics
  • serotonin-specific reuptake inhibitors
  • clonidine

lab test

ADHD is caused by deficiency of norepinephrine and can be identified by analysing spinal fluid, serum and urine. but, mainly ADHD is diagnosed with clinical history and observations.

Add a comment
Know the answer?
Add Answer to:
Andrew Flynn is an eight year old boy who is having more difficulty concentrating at school....
Your Answer:

Post as a guest

Your Name:

What's your source?

Earn Coins

Coins can be redeemed for fabulous gifts.

Not the answer you're looking for? Ask your own homework help question. Our experts will answer your question WITHIN MINUTES for Free.
Similar Homework Help Questions
  • A three week old is brought to the emergency room with a history of poor feeding for the past few days.   Mom...

    A three week old is brought to the emergency room with a history of poor feeding for the past few days.   Mom states she usually takes 1 ½ ounce every 3 hours. As of late she has been refusing to take her usual amount. Today she started to spit up every feeding, which is the reason why mom brought her to the emergency room. Data Obtained From Nursing Assessment Child’s vital signs are: Temp 97.2 Rectally heart rate is 160...

  • Jim Mueller, 13 years old, is at a family picnic and drinking soda out of a...

    Jim Mueller, 13 years old, is at a family picnic and drinking soda out of a can. When Jim swallows some soda, he realizes that a bee was in the soda can because he feels it sting him inside his throat. Jim has a history of allergy to bees. His mom rushes him to the emergency room. Data Obtained From Nursing Assessment Vital signs: pulse, 100; respirations, 24 and shallow; blood pressure, 88/58 Dyspnea Lung sounds barely audible at bases...

  • Joe Nguyen is a 15-year-old brought to the clinic for a routine visit by his mother....

    Joe Nguyen is a 15-year-old brought to the clinic for a routine visit by his mother. With antiepileptic therapy, he currently has a seizure every 2 to 4 months. He asks: “How long do I gotta take this stuff?” His seizures are described as partial complex with secondary generalization. Joe developed meningitis at age 3, with onset of seizures at that time. He has been on multiple antiepileptic drugs over the years, but his old records are unavailable and his...

  • Jerry Stein, 76 years old, was hospitalized for complaints of increased shortness of breath (SOB) and...

    Jerry Stein, 76 years old, was hospitalized for complaints of increased shortness of breath (SOB) and cough. He had noticed swelling around his ankles. On admission he had crackles mid-to base bilaterally. Labs reveal a BNP of 625. Mr Stein has a history of Type 1 diabetes mellitus. He was diagnosed with chronic heart failure (CHF). He was started on multidrug therapy and discharged. He returns to the outpatient clinic 10 days later complaining of blurry, yellowed vision, anorexia, nausea,...

  • CASE STUDY Tina Bremmer is a 20-year-old college student with moderate persistent asthma. She has a...

    CASE STUDY Tina Bremmer is a 20-year-old college student with moderate persistent asthma. She has a cold. While dashing across the campus on a cold fall day, she suffers an asthma attack. Her girlfriend, who is with her, knows that Tina keeps her medication in her backpack. She opens Tina’s pack, finds the inhaler, and gives it to her. Tina uses the inhaler, but instead of achieving relief, she goes into bronchospasm. She is taken to the Emergency Department of...

  • ADHD: CB is a 10-year-old male patient who is having difficulty in school. He fidgets constantly,...

    ADHD: CB is a 10-year-old male patient who is having difficulty in school. He fidgets constantly, gets up frequently to walk around, even if it is not appropriate to do so. He has difficulty staying on task and completing assigned work. He lives with his parents and younger sister. His father has a history of ADHD, bipolar and substance abuse disorder (pain pills, stimulants, and methamphetamine). His mother is obese with type II diabetes. There are several medications that can...

  • Set #2 1. What are the actions of cholinergics and anticholinergics? 2. You are preparing to...

    Set #2 1. What are the actions of cholinergics and anticholinergics? 2. You are preparing to administer atropine to your patient. What classification is this drug? Explain the uses of this medication? a. For each use, what evaluation would tell you that the patient has a therapeutic effect? b. When obtaining a history, what conditions or other drugs are you concerned the patient has that could interact or be contraindicated with this drug? c. How does this drug impact vital...

  • 6. You have a 16 year old pregnant patient who is anemic and needs to be...

    6. You have a 16 year old pregnant patient who is anemic and needs to be started on iron supplementation. She asks you why she needs to take the iron. What do you need to tell her about iron and how the body uses iron to make RBCs?What other teaching is necessary regarding oral iron supplementation? (Consider drug-drug, drug-food interactions, tolerance, side effects, adverse effects, diet restrictions, etc.)

  • You have been assigned to care for Mr. Underwood, a 32-year-old who has been diagnosed with...

    You have been assigned to care for Mr. Underwood, a 32-year-old who has been diagnosed with TB. He goes to the public health department daily to receive his dose of isoniazid and rifampin. Ms. J is your clinical instructor for the day. She has a reputation for asking a lot of questions about the patient’s medications. Ms. J asks you the following questions. “How do the drugs isoniazid and rifampin work? Why has Mr. Underwood been prescribed two drugs to...

  • 1. What are the actions of adrenergic agonists and adrenergic blockers? 2. You are preparing to...

    1. What are the actions of adrenergic agonists and adrenergic blockers? 2. You are preparing to administer albuterol to your patient with asthma. What classification is this drug? Explain how albuterol works to control asthma? a. What will you assess prior to administering this medication? b. What side effects and adverse reactions will you monitor for while your patient is taking this medication? c. How would you evaluate your patient to know the medication was effective? d. What are the...

ADVERTISEMENT
Free Homework Help App
Download From Google Play
Scan Your Homework
to Get Instant Free Answers
Need Online Homework Help?
Ask a Question
Get Answers For Free
Most questions answered within 3 hours.
ADVERTISEMENT
ADVERTISEMENT