ADHD & conduct disorders Flashcards
1
Q
ADHD
A
- persistent pattern of inattention and/or hyperactivity-impulsivity that interferes with functioning or development
1. combined type (6 of inattention + 6 of hyperactivity)
2. inattentiveness (at least 6 of inattention)
3. hyperactivity/impulsivity (at least 6 of it) - *must have symptoms for at least 6 months and in more than one environment
2
Q
s/s of inattention
A
- failure to give close or sustain attention to tasks
- does not seem to listen when spoken to directly
- does not follow through instructions and fails to finish school work, chores, or duties
- difficulty organizing tasks and activities
- often avoids/dislikes engaging in tasks that require sustained mental effort
- often loses things necessary for tasks or activities
- easily distracted by extraneous stimuli
- often forgetful in daily activities
- **no d/t lack of comprehension or defiance
3
Q
s/s of hyperactivity & impulsivity
A
- fidgets with hands or feet, or squirms in seat
- leaves seat when remaining seated is expected
- runs or climbs when inappropriate
- unable to play or engage in leisure activities quietly
- talks excessively
- often “on the go”
- blurts out answer before question is completed
- difficulty waiting turn
- interrupts or intrudes on others
- **inability to delay gratification
4
Q
environmental factors in ADHD
A
- lead poisoning
- diet: sugar has not been proven to cause adhd
5
Q
psychosocial influence in ADHD
A
- disorganized or chaotic environments
- disruption in family equilibrium
- family hx of alcoholism
- hysterical and sociopathic behaviors
- parental hx of hyperactivity
- developmental learning disorders
6
Q
psychopharmacological interventions
A
- CNS stimulants
- selective norepinephrine reuptake inhibitor
- antidepressant
- tricyclic antidepressants
7
Q
CNS stimulants
A
- increase attention spam
- improved learning
- control of hyperactive behavior
8
Q
CNS stimulant s/e
A
- anorexia, wt loss, abd pain
- insomnia, HA
- increased BP, palpitations
- decreased growth & development
- tourette’s tics
- administer after they eat
- ritalin
9
Q
selective norepinephrine reuptake inhibitor s/e
A
- HA, n/v, dry mouth, decreased appetite
- upper abd pain, constipation
- insomnia, increased BP, HR
- sexual dysfunction
- get baseline VS before administering
- Atomoxatine/Stattera
10
Q
antidepressants
A
- bupropion (wellbutrin)
- desipramine (norpramin)
- contraindications: seizures, heart problems
11
Q
antidepressant s/e
A
- insomnia, increased HR, BP, shakiness
- n/v, wt loss or gain
- dizziness, HA, dry mouth
- seizures
12
Q
tricyclic antidepressants
A
- nortriptyline (pamelor)
- imipramine (tofranil)
13
Q
predisposing factors of conduct disorder
A
- chromosome 2, 19
- temperament
- biochemical factors: testosterone, norepi, serotonin
- impaired social cognition, rejection from peers
- parents rejection, divorce, absent father,
14
Q
therapeutic approaches of ADHD
A
- assess mental status for changes in mood, level of activity, degree of stimulation, and agressiveness
- ensure client is protected from injury
- keep stimuli low and environment as quiet as possible
15
Q
adolescent onset - conduct disorder
A
- after 10 yrs old
- less likely to display aggressive behaviors, persistent conduct disorder and antisocial personality disorder
