funny” have gone away.
Decision Point Two
https://mym.cdn.laureate-media.com/2dett4d/Walden/NURS/6630/09/mm/attention_deficit_hyperactivity_disorder/img/pill-blue.pngChange to Ritalin LA 20 mg orally daily in the MORNING
RESULTS OF DECISION POINT TWO
Client returns to clinic in four weeks
Katie’s academic performance is still improved, and the switch to the LA preparation is lasting Katie throughout the school day
Katie’s reports of her heart feeling “funny” have gone away. Pulse was 92 during today’s office visit
Decision Point Three
https://mym.cdn.laureate-media.com/2dett4d/Walden/NURS/6630/09/mm/attention_deficit_hyperactivity_disorder/img/pill-red.pngMaintain current dose of Ritalin LA and reevaluate in 4 weeks
Guidance to Student
At this point, Katie’s symptoms are well controlled (her attention is sustained throughout the school day) and her side effects have gone away following change to a long-acting preparation. There is no indication at this point that the dose should be increased as it is always advisable to use the lowest effective dose of stimulant medication. Katie’s heart rate is appropriate for an 8 year old girl and an EKG would not be indicated based on her heart rate.
