Nursing 212

Health Differences Across the Lifespan 2 Study Guide

Drug Treatment for Pediatrics Drug

Usage

Comment

Anxiolytics Anxiety /phobic conditions Short term adjunct to behavior treatment Neuroleptics: Phenothiazines (chlorpromazine); Butyrophenones (Haloperidol) Schizophrenia/hyperkinetic syndrome; complex tics/ Tourette’s syndrome Extrapyramidal side effects common Tricyclic antidepressants: Imipramine/amitriptyline; Clomipramine Enuresis; major affective disorder Effective, but high relapse rate; most useful with persistent and sustainedmood disturbance Stimulants: Methylphenidate Hyperkinetic syndrome Effective in the short term; long term effects on growth, steep, and appetite Fenfluramine Pervasive developmental disorder Effectiveness not established; side effects include irritability, anorexia, and weight loss Hypnotics (trimeprazine or promethazine) Persistent sleep disorders in preschool children Only short term Lithium Recurrent bipolar affective disorder Close supervision of blood levels for signs of toxicity Laxatives (bulkforming); methylecellulos; stimulants (senna) softener (dioctyl) Encopresis with constipation Facilities formation and passage of feces Central alpha agonist (clonidine) Unresponsive Tourette's syndrome Sedation and rebound; hypertension

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