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Flashcards in ADHD psurg Deck (24):
1

hyperactivity

excessive psychomotor activity that may be purposeful or aimless, accompanied by physical movements and verbal utterances that are usually more rapid than normal. Inattention and distractibility are common.

2

Impulsiveness

the trait of acting without reflection and without thought to the consequences of the behavior. An abrupt inclination to act (and the inability to resist acting) on certain behavioral urges.

3

ADHD

attention-deficit / hyperactive d/o: a persistent pattern of inattention and/or hyperactivity-impulsivity

4

Diagonistic criteria of ADHD

6 s/s of inattention and at least 6 s/s of hyperactivity-impulsivity that have persisted for 6 mon

5

diagnostic criteria ADHD, predominantly inattentive type

6 s/s of inattention and LESS THAN 6 s/s of hyperactivity-impusivity that have persisted for 6 mon

6

diagnostic criteria ADHD, predominantly hyperactivity-impulsivity type

6 s/s of hyperactivity-impulsivity and LESS THAN 6 s/s of inattention that have persisted for 6 mon

7

ADHD and genetics: which chromosome?

Chromosome 16

8

adhd biochemical: which neurotransmitters

low norepinephrine, low dopamine; associated with inattention, hyperactivity, impulsivity, mood, and AGGRESSION

9

ADHD antaomical: which part of brain was altered?

prefrontal (attention, organization), basal ganglia/caudate nucleus (high level movement, globus pallidus (restless, emotion, volitile), and cerebellum

10

adhd and diet: avoid what food? Which food is ok?

no dyes and additives; sugar is ok

11

adhd and environment: what toxin?

lead exposure

12

adhd: psychosocial contributing factors

disorganized or chaotic environment, or a disruption in family equilibrium; examples: mental mom, sterss, poverty, institutionalized, foster care.

13

adhd s/s

difficulty with task; distractable; limited attn span; skip from one activity to another; uncontrolled impulsiveness; no interpersonal skills; disruptive/intrusive; no compliance; difficulty with social norms; aggressive/oppositional or regressive/immature; short temper/outburst; boundless energy/fidget; perpetual motion machine; accidental mishaps/damage to property

14

nsg dx

risk for injury; low self esteem; impaired social interaction; noncompliance; defensive coping; ineffective coping

15

adhd drugs: list 6 types

CNS stimulants; selective norepi reuptake inhibitor; antidepressant; tricyclic antidepressant; alpha agonist clonidine and guanfacine; atomoxetine; buproprion

16

adhd cns stimulants: name 2

amphetamines; ritalin; methylin; focalin

17

what does alpha agonist clonidine and guanfacine do?

reduced SNS

18

what does atomoxetine do?

block reuptake of norepi

19

what does bupropion do?

block reuptake of serotonin, norepi, and dopa

20

what does cns stimulants do?

increase norepi, dopa, sero

21

contra for cns stiumlant?

heart dz; htn; glaucoma; drug abuse; during/within 14 days of maois; less than 3yo; pregnant/lactating; psaychotic kids; tourette's d/o; anorexia, insomnia; elderly, dibilitated, asthenic/weak

22

contra for atomoxetine straterra?

during/within 14 days since maois; glaucoma; lactation

23

contra for bupropion wellbutrin or desipramin norpramin?

eating d/o, heart dz, seizure;

24

examples of tricyclic antidepressants

amitriptyline elavil, imipramine tofranil