Assignment: Hyperactivity Disorder

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Assignment: Hyperactivity Disorder

Assignment: Hyperactivity Disorder

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In my second decision, I opted to switch to Ritalin LA at 20 gm daily, which should also be administered in the morning. This is the recommended daily dosage, although patients can begin treatment with only 10 mg daily (, 2019). When the patient returned after four weeks, she was reported to have improved in academic performance. The funny feeling had disappeared, and the pulse rate had dropped to 92 beats in a minute.

Consequently, my third decision was to maintain the current dose of Ritalin LA at 20 gm daily, which would be reevaluated after four weeks and dealing with any side effect. This is after ensuring that the patient’s symptoms have been contained, and no side effects were reported after four weeks (Laureate Education, 2019). At this level, the prescribing nurse should not think of increasing the dosage to avoid more side effects.

Impact of the Medication to the Patient’s Pathophysiology

My recommended  will enable the patient to regain her attentiveness and communicate effectively with family members, as well as her teachers. Her performance in school will improve while the pulse rate would be maintained at the appropriate level. However, uncertainties concerning therapies, as well as the balance between benefits accrued from medicines, costs of medicines, and potential harm, should be catered for before starting treatment (Catala-Lopez et al., 2017). The rule of using stimulant medications is to utilize the lowest effective dose to avoid drug misuse.

Understanding the most appropriate treatment options will facilitate in making the right treatment plans for the patient, which can be replicated in the future. Clinical expertise is necessary in such cases to identify the right dosage should offer optimal clinical effects with minimized side effects, rather than having to try various doses to determine the right one (Frolich et al., 2014). If the patient does not show any improvement after taking Ritalin LA after the four-week period, the most appropriate thing would be to stop using the drug, rather than increasing the dosage.


Catala-Lopez, F., Hutton, B., Nunez-Beltran, A., Page, M. J., Ridao, M., Saint-Gerons, D. M., … & Moher, D. (2017). The pharmacological and non-pharmacological treatment of attention deficit hyperactivity disorder in children and adolescents: a systematic review with network meta-analyses of randomised trials. PloS one12(7), e0180355. (2018, Jan. 31). Ritalin LA dosage. Retrieved from

Frolich, J., Banaschewski, T., Döpfner, M., & Görtz-Dorten, A. (2014). An evaluation of the pharmacokinetics of methylphenidate for the treatment of attention-deficit/hyperactivity disorder. Expert opinion on drug metabolism & toxicology10(8), 1169-1183.

Laureate Education (Producer). (2019). Attention deficit hyperactivity disorder [Interactive Media]. Baltimore, MD: Author


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