ADHD psurg

Question 1

hyperactivity

Answer 1

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.

Question 2

Impulsiveness

Answer 2

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.

Question 3

ADHD

Answer 3

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

Question 4

Diagonistic criteria of ADHD

Answer 4

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

Question 5

diagnostic criteria ADHD, predominantly inattentive type

Answer 5

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

Question 6

diagnostic criteria ADHD, predominantly hyperactivity-impulsivity type

Answer 6

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

Question 7

ADHD and genetics: which chromosome?

Answer 7

Chromosome 16

Question 8

adhd biochemical: which neurotransmitters

Answer 8

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

Question 9

ADHD antaomical: which part of brain was altered?

Answer 9

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

Question 10

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

Answer 10

no dyes and additives; sugar is ok

Question 11

adhd and environment: what toxin?

Answer 11

lead exposure

Question 12

adhd: psychosocial contributing factors

Answer 12

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

Question 13

adhd s/s

Answer 13

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

Question 14

nsg dx

Answer 14

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

Question 15

adhd drugs: list 6 types

Answer 15

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

Question 16

adhd cns stimulants: name 2

Answer 16

amphetamines; ritalin; methylin; focalin

Question 17

what does alpha agonist clonidine and guanfacine do?

Answer 17

reduced SNS

Question 18

what does atomoxetine do?

Answer 18

block reuptake of norepi

Question 19

what does bupropion do?

Answer 19

block reuptake of serotonin, norepi, and dopa

Question 20

what does cns stimulants do?

Answer 20

increase norepi, dopa, sero

Question 21

contra for cns stiumlant?

Answer 21

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

Question 22

contra for atomoxetine straterra?

Answer 22

during/within 14 days since maois; glaucoma; lactation

Question 23

contra for bupropion wellbutrin or desipramin norpramin?

Answer 23

eating d/o, heart dz, seizure;

Question 24

examples of tricyclic antidepressants

Answer 24

amitriptyline elavil, imipramine tofranil