- Includes the brain & spinal cord
- Center of coordination and control
- Many drugs stimulate the CNS, but few are used therapeutically
What are the 3 types of CNS stimulants
What are Analeptics?
- Act 2 stimulate CNS
- Uses= respiratory depression, relieve fatigue
- Given 2 premibabies 2 help them breath
- Overdose, alcoholics, drunks
- Doxapram= increases cns, post anesthesia, Increased respirations
- Modafinal= 4 narcolepsy (record sleep pattern), Take in AM
- NURSE = MONITER AGB LABS AND WATCH RESPIRATIONS
What are Amphetamines?
- Simulates the CNS; elevates B/P, wakefulness, increase or decreased pulse rate USED SHORT TERM, HIGHLY ABUSIVE (feel good meds)
- Ex: amphetamine, dextroamphetamine, methamphetamine
- Obesity (they control appetite)
- Narcolepsy (record sleep pattern)
- ADHD (tell parents 2 monitor ht&weight & behavior on kids cuz this rx stunts growth on long term use)
- Nurse=tell client 2 take rx in the AM
What are anorexiants?
- Act on the appetite center in the hypothalamus. HIGHLY ABUSIVE
- Examples= phendimetrazine, phentermine
Use 4 Obesity
- NURSE ALERT= Amphetamines and anorexiants have abuse potential and should not be used long term
- SHOULD NOT TAKE ANTIDEPRESSANTS WHILE TAKING THESE OR 14DAYS BETWEEN ANY ANOREXIANTS OR STIMULANTS OF CNS.
What are A/R of cns stimulants?
- Headache, dizziness
- Disorientation and hyperactivity
- Nausea, vomiting
- Cough, dyspnea
- Urinary retention
- Variations in heart rate (ie, tachycardia)
Teaching on Analeptics
- NURSING ACTIONS/CLIENT TEACHING
- Preadministration – Weight, BP, Pulse, Respirations. *If ADHD – observe behavior of child.
- Ongoing – Daily summary of child behavior, Weight and VS (outpatient)
Geri alert on CNS stimulants
- Older adults more sensitive
- May show excessive anxiety, nervousness, insomnia, and confusion
- Cardiovascular problems may worsen
- Careful monitoring is IMPORTANT