ADHD Flashcards
define ADHD
symptoms of inattention +/- hypteractivity/impulsivity
characteristics of ADHD
chronicity
pervasivesness
functional impairment
etiology of ADHD
genetic
environmental
injury (basal ganglia, cerebellum, prefrontal cortex)
what is the orbital prefrontal cortex involved in
working memory and executive function
what is the basal ganglia involved in
motor coordination an procedural knowledge
what is the cerebellum involved in
control movement and cognitive processes that require precise timing
optimal NE
increases focus
optimal DA
reduces noise
cognitive symptoms of ADHD
trouble organizing space or tasks
poor time management
distractability
sensitivity to interuption
social/emotional symptoms of ADHD
failure to read social cues
7 areas of executive function
cognitive flexibility initiation interference control planning/organization response inhibition self monitoring working memory
children must have how many inattention symptoms
6
adults must have how many inattention symptoms
5
name 9 inattention symptoms
fails to give attention to details or makes careless mistakes
difficulty sustaining attention
does not seem to listen
does not follow through on instructions and fails to finish school work
difficulty organizing tasks and activities
avoids taks that require sustained mental effort
loses things necessary for tasks
easily distracted by extraneous stimuli
forgetful in daily activities
name 9 symptoms of hyperactivity
fidgets leaves seat runs or climbs when inappropriate unable to play quietly on the go talks excessively blurts out answers/finishes sentences difficulty waiting for their turn interupts others
What 3 criteria must all ADHD pts have
present in 2+ settings
interfere with or reduce QOL
appeared by age 12
MOA of amphetamine stimulants
releases transmitter from vessicle
blocks reuptake into vessicle
blocks reuptake into presynaptic terminal
induces release of transmitter from presynaptic terminal
name 3 short acting amphetamines
adderall
dexerdrine
dextrostat
name 3 long acting amphetamines
dexerdine spansule
adderall XR
Vyvanse
Methylphenidate MOA
block reuptake into presynaptic terminal
name 3 short acting methylphenidates
focalin
methylin
ritalin
name 5 intermediate acting methylphenidates
metadate ER methylin ER Ritalin SR Metadate CD Ritalin LA
4 long acting methylphenidates
concerta
quillivant XR
Focalin XR
Daytrana
Which methylphenidate is available as a patch
daytrana
which methylphenidate is available as a liquid
quillivant
amoxetine brand name
strattera
amoxetine duration of action
24 hours
when do you not use a stimulant
arrythmias
uncontrolled HTN
substance abuse
intolerant to stimulant
guanifacine brand names
intuniv
tenex
intuniv duration
24 hours