ADD/ADHD

Question 1

ADHD criteria. (4)

Answer 1

Core symptoms of: Impulsivity (or Hyperactivity), Inattention, Distractibility

Impairing home, school, social and self-concept (at least 2 settings)

By age 6 years

Chronic condition (at least 6 months)

Question 2

ADHD Risk factors ( 6)

Answer 2

	Head trauma
	Lead exposure
	Cigarette smoke exposure
	prematurity
	low birthweight 
	family hx

Question 3

ADHD: Inattention symptoms (9)

Answer 3

	Easily distracted
	Forgetful
	Loses things
	Difficulty sustaining attention
	Avoid/dislike difficult tasks
	Difficulty organizing
	Careless mistakes
	Does not listen
	Difficulty following instructions

Question 4

ADHD: hyperactivity/impulsive s/s (9)

Answer 4

	Fidgety
	Difficulty staying in seat
	Runs or climbs excessively Hyper feeling
	Acts on the go/ driven by a motor
	Difficulty doing things quietly
	Talks excessively
	Difficulty waiting turn
	Blurts out answers
	Interrupts/intrudes

Question 5

Dx of ADHD presence of ___ or more of the symptoms listed and must present in ___ or more settings

Answer 5

-6

• Failure to pay close attention Careless mistakes on schoolwork
• Difficulty paying attention to tasks or play
• Doesn’t listen Doesn’t follow through Doesn’t complete tasks
• Doesn’t understand instructions
• Poorly organized
• Avoids, dislikes, or fails to engage in activities requiring mental effort
• Loses things needed for task completion
• Easily distracted Forgetful Fidgety or squirmy
• Often out of seat
• Activity inappropriate to the situation
• Cannot engage in quiet play
• Always on the go
• Talks excessively
• Blurts out answers
• Has difficulty waiting his or her turn
• Often interrupts or intrudes on others

must affect 2 or more settings

Question 6

Medications for ADHD (4)

Answer 6

methylphenidate (Ritalin)

Dextroamphetamine (dexedrine)

Amphetamine/dextroamphetamine (Adderal)

Pemoline (Cylert)

Question 7

How does Ritalin work? What does it do?

Answer 7

increases availability of norepinephrine

helps adults/children connect more

Question 8

What is the new route for ADHD meds? Who is it good for? When is it removed?

Answer 8

patch –> good for those with difficulty swallowing, should be removed after school

Question 9

Issues with ADHD meds (3)

Answer 9

• at risk for stunted growth
• increased BP
• increased concern for abuse

Question 10

Medication education for ADHD meds 92)

Answer 10

• Should be taken in the morning to decrease the adverse effect of insomnia
• Some children may experience decreased appetite, so giving medication with or after the meal may be helpful

Question 11

ADHD management (8)

Answer 11

Set clear limits for behavior

Give positive reinforcement for desired behavior

Give time out for undesired behavior

Provide feedback as soon as possible after behavior

Consistent approach from nurses, parents and caregivers

Keep instructions simple

Ask child to repeat instructions

Set realistic goals for child’s behavior