Nursing Diagnoses in Psychiatric Nursing Care Plans and Psychotropic Medications

(^528) Concerta: Adults and children Clients currently using methylphenidate:Clients new to methylphenidate:Daytrana (Transdermal Patch): Adults and children 15 mg 2 or 3 times/day or 60 mg (SR)10 mg 2 or 3 times/day or 40 mg (SR)5 mg 2 or 3 times/day or 20 mg (SR) Previous Methylphenidate Dose contents of capsule are consumed when taken in this man-ner. once daily in the morning. Must be swallowed whole and not dosage in 10 to 20 mg increments at week ly inter vals to a max-regimen given once daily at same total dose, or in place of SR product at same dose.imum of 60 mg taken once daily in the morning. Capsules version table:may be swallowed whole with liquid or opened and contents (not to exceed 2 mg/kg/day) for adolescents 13 to 17 years.day for children 6 to 12 years, and to a maximum of 72 mg/day May adjust dosage at weekly intervals to maximum of 54 mg/sprinkled on soft food (e.g., applesauce). Ensure that entire chewed, divided, or crushed.^ ●NOTE:^ PSYCHOTROPIC MEDICATIONS Ritalin LA may be used in place of 2 times a day 18 mg once daily in the morning. ≥6 yearsRecommended Concerta Dose18 mg every morning36 mg every morning54 mg every morning Should use following con-: PO: Should be taken ≥6 years: Patch
2506_Ch31_522-537.indd 1528 2506 Ch 31 522 - 537 .indNarcolepsy:Patients converting from another formulation of methylphenidate should follow dDelivery rate (based on^ Nominal delivered the above titration schedule due to differences in bioavailability of Daytrana compared to other products. day. Maximum dose 60 mg/day. hips with additional doses. Dosage for patients new to meth-ylphenidate should be titrated to desired effect according to the following recommended schedule: and should be removed 9 hours after application. Alternate should be applied to hip area 2 hours before an effect is needed SR, and Metadate ER 1 9-hr wear period)dose (mg/9 hr) 528 Adults: Week 1PO10 mg1.1 mg/hrindicated for this use. 10 mg 2 to 3 times/: Ritalin, Methylin, Methylin ER, Ritalin-15 mg1.6 mg/hrWeek 2 Week 320 mg2.2 mg/hr 30 mg3.3 mg/hrWeek 4 1 10/1/10 9:40:56 AM 0 / 1 / 10 9 : 40 : 56 AM