4 - Paeds - Community Paeds + Psych - ADHD Flashcards
define hyperactive
define true ADHD
level of motor activity exceeds normal
child undoubtedly hyperactive, impaired concentration, short attention span, distractible
what is the underlying problem which has a powerful genetic predisposition?
dysfx of neurons that rely dopamine as a NT, which control self monitoring and self regulation
what are the 3 groups of symptoms in ADHD
inattention
hyperactivity
impulsivity
inattention Sx?
not finish tasks procrastinate disorganised, lack focus messy and careless school work forgetful about ADLs easily distracted
hyperactivity Sx?
can't sit still run/climb when not appropriate talk a lot can't do tasks quietly always on the go
impulsivity Sx?
impatience
can’t wait to talk/react
can’t take turns
frequent interruption/intrusion of others conversations/activities
what can happen to ADHD sufferers as they get older?
do poorly in school and have poor relationships with others, lose self esteem
drift in antisocial activities due to resentment
first things to do to manage?
child psych, paediatrician, educational psychologist assessment
what is first line treatment?
specific advice to parents and teachers to:
- build concentration
- encourage quiet self occupation
- increase self esteem
- moderate extreme behaviour
what are also helpful first line ?
behavioural interventions
-rules and expectations with consistent rewards and consequences
when is medication used? two types of meds? examples of each?
if first line insufficient and the child is >6y
stimulants (methylphenidate/dexamphetamine) and non-stimulants (atomoxetine)
what is done every year?
a trial off meds, specialist supervision required, close liaison with school
