Chipstar

Hello everyone, this is Chipstar! It's been quite a while since I've been on the forums, and I'm glad to see the community is still here and active! I passed my boards in 2008, and have been working as a clinic nurse in a developmental and behavioral pediatrician's office. I love it. I work with kids with ADHD, aspergers, Autism, FAS, mood disorders, dyslexia, etc etc. We developed a table that I thought may be helpful for anyone studying or working with stimulant/non-stimulant medications for ADHD. These medications are also used if there are attention or impulsive features sometimes found in children with Autism. Enjoy! PS - I'm not sure how to upload just a file yet, so hopefully this copy/paste formats correctly on your screen. Feel free to PM me your email if you'd like the original. Peace, and remember you psych nurses, it's ok to be a little crazy! [TABLE=width: 965] [TR] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD=colspan: 2]ADHD MEDICATIONS[/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [/TR] [TR] [TD]NAME[/TD] [TD]GEN[/TD] [TD]FORM[/TD] [TD]Crush[/TD] [TD]Sprinkle[/TD] [TD]Strengths (mg)[/TD] [TD]SA/LA[/TD] [TD]Duration[/TD] [TD]Start dose[/TD] [TD]Target dose[/TD] [TD]Max dose[/TD] [TD][/TD] [/TR] [TR] [TD]Mixed Amphet. Salts[/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [/TR] [TR] [TD]Adderall[/TD] [TD]Yes[/TD] [TD]Tab[/TD] [TD]Yes[/TD] [TD]NA[/TD] [TD]5, 7.5, 10, 12.5, 15,[/TD] [TD]NA[/TD] [TD]4-6 h ?8[/TD] [TD]2.5: 3-5 y[/TD] [TD]0.5-1mg/kg/d[/TD] [TD]40 mg/day[/TD] [TD][/TD] [/TR] [TR] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD]20,30[/TD] [TD][/TD] [TD][/TD] [TD]5: >6y[/TD] [TD]divided[/TD] [TD]divided[/TD] [TD][/TD] [/TR] [TR] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD]10: teen[/TD] [TD][/TD] [TD][/TD] [TD][/TD] [/TR] [TR] [TD]Adderall XR[/TD] [TD]Yes[/TD] [TD]Capsule[/TD] [TD]No[/TD] [TD]Yes[/TD] [TD]5,10,15,20,25,30[/TD] [TD]50/50[/TD] [TD]10-12 h[/TD] [TD]5-10: >6y[/TD] [TD]0.5-1mg/kg/d[/TD] [TD]40 mg/day[/TD] [TD][/TD] [/TR] [TR] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD]10: teen[/TD] [TD][/TD] [TD][/TD] [TD][/TD] [/TR] [TR] [TD]Dexedrine[/TD] [TD]Yes[/TD] [TD]Tab[/TD] [TD]Yes[/TD] [TD]NA[/TD] [TD]5,[/TD] [TD]NA[/TD] [TD]4-6 h[/TD] [TD]2.5: 3-5 y[/TD] [TD]0.1-0.5mg/kg/d[/TD] [TD]40mg/day[/TD] [TD][/TD] [/TR] [TR] [TD]Dextrostat[/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD]5,10[/TD] [TD][/TD] [TD][/TD] [TD]5: >6y[/TD] [TD][/TD] [TD]divided[/TD] [TD][/TD] [/TR] [TR] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD]10: teen[/TD] [TD][/TD] [TD][/TD] [TD][/TD] [/TR] [TR] [TD]Dexedrine Spansule[/TD] [TD]No[/TD] [TD]Capsule[/TD] [TD]No[/TD] [TD]Yes[/TD] [TD]5,10,15[/TD] [TD]50/50[/TD] [TD]6-8 h[/TD] [TD]5-10: >6y[/TD] [TD]0.1-0.5mg/kg/d[/TD] [TD]40mg/day[/TD] [TD][/TD] [/TR] [TR] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD]10: teen[/TD] [TD][/TD] [TD][/TD] [TD][/TD] [/TR] [TR] [TD]Vyvanse[/TD] [TD]No[/TD] [TD]Capsule[/TD] [TD]No[/TD] [TD]Yes[/TD] [TD]20, 30, 40, 50, 60, 70[/TD] [TD]NA[/TD] [TD]10-12 h[/TD] [TD]30 mg[/TD] [TD]~1-2 mg/kg/day[/TD] [TD]70 mg/day[/TD] [TD][/TD] [/TR] [TR] [TD]Lisdexamphetamine[/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD]Adderall XR 10[/TD] [TD]Vyvanse 30[/TD] [TD][/TD] [/TR] [TR] [TD](prodrug)[/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD]Adderall XR 20[/TD] [TD]Vyvanse 50[/TD] [TD][/TD] [/TR] [TR] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD]Adderall XR 30[/TD] [TD]Vyvanse 70[/TD] [TD][/TD] [/TR] [TR] [TD]Methylphenidate[/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [/TR] [TR] [TD]Ritalin[/TD] [TD]Yes[/TD] [TD]Tab[/TD] [TD]Yes[/TD] [TD]NA[/TD] [TD]5,10,20[/TD] [TD]NA[/TD] [TD]3-6 h[/TD] [TD]2.5-5 mg[/TD] [TD]1-2 mg/kg/d[/TD] [TD]60 (90) mg[/TD] [TD][/TD] [/TR] [TR] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD]divided[/TD] [TD][/TD] [/TR] [TR] [TD]Ritalin LA[/TD] [TD]No[/TD] [TD]Capsule[/TD] [TD]No[/TD] [TD]Yes[/TD] [TD]10,20,30,40[/TD] [TD]50/50[/TD] [TD]6-8 h[/TD] [TD]20 (10)mg[/TD] [TD]1-2 mg/kg/d[/TD] [TD]60 mg[/TD] [TD][/TD] [/TR] [TR] [TD]Ritalin SR[/TD] [TD]yes[/TD] [TD]tab[/TD] [TD]No[/TD] [TD]No[/TD] [TD]20,[/TD] [TD]?[/TD] [TD]8 h[/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [/TR] [TR] [TD]Concerta[/TD] [TD]No[/TD] [TD]OROS[/TD] [TD]NO[/TD] [TD]No[/TD] [TD]18,27,36,54[/TD] [TD]22/78[/TD] [TD]10-12 h[/TD] [TD]18 mg[/TD] [TD]1-2 mg/kg/d[/TD] [TD]54 (72) mg[/TD] [TD][/TD] [/TR] [TR] [TD]Metadate CD[/TD] [TD]No[/TD] [TD]Capsule[/TD] [TD]No[/TD] [TD]Yes[/TD] [TD]10,20,30[/TD] [TD]30/70[/TD] [TD]6-8 h[/TD] [TD]20 (10)mg[/TD] [TD]1-2 mg/kg/d[/TD] [TD]60 mg[/TD] [TD][/TD] [/TR] [TR] [TD]Metadate ER[/TD] [TD]yes[/TD] [TD]Tab ER[/TD] [TD]NO[/TD] [TD]No[/TD] [TD]10,20[/TD] [TD]?[/TD] [TD]8 h[/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [/TR] [TR] [TD]Methylin[/TD] [TD]Yes[/TD] [TD]Tab[/TD] [TD]Yes[/TD] [TD]NA[/TD] [TD]5,10,20[/TD] [TD]NA[/TD] [TD]3-6 h[/TD] [TD]2.5-5 mg[/TD] [TD]1-2 mg/kg/d[/TD] [TD]60 mg[/TD] [TD][/TD] [/TR] [TR] [TD]Methylin chew tab[/TD] [TD]No[/TD] [TD]Tab[/TD] [TD]Yes[/TD] [TD]NA[/TD] [TD]2.5,5,10 (grape)[/TD] [TD]NA[/TD] [TD]3-6 h[/TD] [TD][/TD] [TD]1-2mg/kg/d[/TD] [TD]60 mg[/TD] [TD][/TD] [/TR] [TR] [TD]Methylin liquid[/TD] [TD]No[/TD] [TD]Liquid[/TD] [TD]NA[/TD] [TD]NA[/TD] [TD]5/5, 10/5 (grape)[/TD] [TD]NA[/TD] [TD]3-6 h[/TD] [TD][/TD] [TD]1-2 mg/kg/d[/TD] [TD]60 mg[/TD] [TD][/TD] [/TR] [TR] [TD]Methylin ER[/TD] [TD]yes[/TD] [TD]Tab ER[/TD] [TD]NO[/TD] [TD]No[/TD] [TD]10,20[/TD] [TD]?[/TD] [TD]8 h[/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [/TR] [TR] [TD]Focalin (d-MPH)[/TD] [TD]Yes[/TD] [TD]Tab[/TD] [TD]Yes[/TD] [TD]NA[/TD] [TD]2.5,5,10[/TD] [TD]NA[/TD] [TD]3-6 h[/TD] [TD]1.25-2.5 mg[/TD] [TD]0.5-1 mg/kg/d[/TD] [TD]20 (30) mg[/TD] [TD][/TD] [/TR] [TR] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD]divided[/TD] [TD]divided[/TD] [TD][/TD] [/TR] [TR] [TD]Focalin XR (d-MPH)[/TD] [TD]No[/TD] [TD]Capsule[/TD] [TD]No[/TD] [TD]Yes[/TD] [TD]5, 10, 20, 30, 40[/TD] [TD]50/50[/TD] [TD]6-8 h[/TD] [TD]5-10 mg[/TD] [TD]0.5-1 mg/kg/d[/TD] [TD]20 (30) mg[/TD] [TD][/TD] [/TR] [TR] [TD]Daytrana[/TD] [TD]No[/TD] [TD]Patch[/TD] [TD]No[/TD] [TD]No[/TD] [TD]10, 15, 20, 30[/TD] [TD]NA[/TD] [TD]10-12 h[/TD] [TD]10 mg[/TD] [TD][/TD] [TD][/TD] [TD][/TD] [/TR] [TR] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [/TR] [TR] [TD]Nonstimulants[/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [/TR] [TR] [TD]Strattera/atomoxetine[/TD] [TD]No[/TD] [TD]Capsule[/TD] [TD]NO[/TD] [TD]No[/TD] [TD]10,18,25,40,60,80,100[/TD] [TD]NA[/TD] [TD]"24 h"[/TD] [TD]0.5 mg/kg/d[/TD] [TD]1.2 mg/kg/d[/TD] [TD]1.4 mg/kg/d[/TD] [TD][/TD] [/TR] [TR] [TD]Intuniv (ext. rel.)[/TD] [TD]No[/TD] [TD]Tab[/TD] [TD]No[/TD] [TD]NA[/TD] [TD]1, 2, 3, 4[/TD] [TD]NA[/TD] [TD]"24 h"[/TD] [TD]1 mg daily[/TD] [TD][/TD] [TD]4 mg daily[/TD] [TD][/TD] [/TR] [TR] [TD]Guanfacine/Tenex[/TD] [TD]Yes[/TD] [TD]Tab[/TD] [TD]Yes[/TD] [TD]NA[/TD] [TD]1, 2[/TD] [TD]NA[/TD] [TD]8-10 h[/TD] [TD]0.25 mg BID[/TD] [TD]likely BID/TID[/TD] [TD]3 mg daily[/TD] [TD][/TD] [/TR] [TR] [TD]Clonidine/Catapres[/TD] [TD]Yes[/TD] [TD]Tab[/TD] [TD]Yes[/TD] [TD]NA[/TD] [TD]0.1, 0.2[/TD] [TD]NA[/TD] [TD]4-6 h[/TD] [TD]0.025 mg BID[/TD] [TD]likely TID/QID[/TD] [TD]0.1 mg QID[/TD] [TD][/TD] [/TR] [TR] [TD]Kapvay (ext. rel.)[/TD] [TD]No[/TD] [TD]Tab[/TD] [TD]No[/TD] [TD]NA[/TD] [TD]0.1, 0.2[/TD] [TD]NA[/TD] [TD]12 h[/TD] [TD]0.1 mg QPM[/TD] [TD][/TD] [TD]0.2 mg BID[/TD] [TD][/TD] [/TR] [TR] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [/TR] [TR] [TD]Key:[/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [/TR] [TR] [TD]Boldface=freq used[/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [/TR] [TR] [TD]Italics=not freq used[/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [/TR] [TR] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [/TR] [/TABLE]

classic, Interesting how they do it in texas. I think EMS might be a little over the top, but that's just my opinion. However, if i had a child in school with diabetes, i would not want a UAP to admin insulin. But that's probably nursing bias. I agree though, that we hould be focusing on the children to make this as independant as possible, but my previous point still weighs in. Good comment classic.

Bradley, thank you for your response. And i apoligize for mis-posting! I will read up on the current thread. You pretty much addressed my thoughts and concerns for such a request to be placed on a UAP. Thanks again ~Chipstar

Hello! I was wondering if i could get some consult. My fiance (who is a college graduate) works in a tutoring role for an elementary school. Recently her boss asked her to administer insulin to a diabetic child. She hasnt started yet, thankfully as she asked me to "teach her everything i know" with me being an RN. My questions is...is this legal? I dont seem to think so. UAPs maaaaybe, but with diabetes it's pretty much LPN/RN or bust. I know state laws differ, and we are in Minnesota. Even if it is not illegal, i dont think it's safe for untrained personel to administer something as critical as insulin without proper assessment technique. Any thoughts/opinions/resource? Thanks! ~Erik

Thanks for reply elkpark. You're right, it didnt matter much as i took and passed my boards. The odd thing, is i took 75% science courses. chem, bio, microbio, anatomy x 2 (two courses, i didnt fail ) pathophysiology, etc etc to be honest i was kind of angered to find out my "A" wasnt an "S" Let me open it up. Is there anyone out there that graduated from an accredited school with a Bachelors of Arts, Nursing. Anyone else who knows the difference? lol Thanks! ~Chipstar

Hello there! Thanks for working together as a community to form a forum about nursing! Being a forum troll myself, it's a great thing to have a sort of data base that pools the collective minds of students, professionals, and masters of our nursing field. Kudos. Anyway, here is my question. When I went to school for my nursing degree, initially i was told it was a BSN. That made sense. THEN, i was told my degree would be a Bachelor of Arts, Nursing. No professor or anyone in the department could give me a clear answer on what (if any) the difference is. So, does anyone know if there is a difference of BSN v BAN? Thanks so much! ~Chipstar

I just found out, 24 hours later from the minnesota board that i had passed after a long 265 questions. The 24 hours in between were hell. Apologies to the people who failed. keep your chin up, and remember that your willingness to keep trying will serve you well. Did you know that there are statistics that report not 100% of people who fail retake. That means people who take and fail never retake for some reasons so they have a graduate nurse degree never attaining their license. you guys arent like that, and you WILL pass. best of luck. ~Erik

I as well took the full 265 questions this morning. i was under some Xanax so i wasnt freaking out, but it was disappointing to learn that i was there for 4.5 hours. it appears that us full testers dont do so bad that the computer says "please try again" but the next day or two will be hell on my nerves. my congrats goes out to those of you who passed with 75 or 265, or anything in between. here's hopin. ~Erik