ADHD Flashcards
1
Q
What is ADHD?
A
PERSISTENT inattention or hyperactivity
with developmental delay
2
Q
How many features need to be present in children up to the age of 16?
A
6 features
3
Q
How many features needs to be present in children > 17 years?
A
5
4
Q
What are the diagnostic features in regards to inattention? (x8)
A
- does not follow through on instructions
- relunctance to engage in mentally intense tasks
- easily distracted
- difficultly sustain tasks
- difficulty organising tasks or activities
- often forgetful in daily activities
- often loses things necessary for tasks or activities
- often does not seem to listen when spoken to directly
5
Q
What are the diagnostic features in regards to hyperactivity? (x8)
A
- unable to play quietly
- talk excessively
- does not wait their turn easily
- will spontaneously leave their seat when expected to stay seated
- is often on the go
- often interruptive and intrusive of otehrs
- will answer prematurely before a question I s fnsihed
- will run and climb in situations where it is not appropriate
6
Q
Management of adhd
A
drug therapy last resort - > 5 years only
mehlyphenidate
EDUCATION - 1st line
7
Q
What is one of the cautions of Methylphenidate?
A
cardiotoxic
8
Q
What investigation must you carry out before starting methylphenidate?
A
baseline ecg
9
Q
if you are starting methylphenidate when should you refer to a cardiologist?
A
if the child has any cardiac problems or abnormalities
