S2E4: Peds/ADHD

Question 1

PDA NSAID use

Answer 1

Not in pregnancy (may close too early).
Give after birth to child if not closing.
Prostaglandins E1 keeps PDA open (maybe needed if congenital defect before repair)

Question 2

PO use

Answer 2

Ok if older than 1-2 mo. Easiest/cheapest.

Question 3

Parenteral

Answer 3

Most reliable. Best for severely ill. If IV abx.

Question 4

chewable (age?)

Answer 4

OK after 18 mo

Question 5

rectal (time?)

Answer 5

Needs to be PR for 20 min

Question 6

teaspoon to mL

Answer 6

1 tsp = 5 mL

Question 7

lb to kg

Answer 7

2. 2 lb = 1 kg

* weigh more in kg

Question 8

body surface area use

Answer 8

Most accurate, esp for narrow therapeutic index rx.
mg/m^2
m^2 uses height and weight.

Question 9

drops to mL

Answer 9

20 drops = 1 mL

Question 10

tablespoon to mL (and tsp)

Answer 10

1 TBSP = 15 mL = 3 tsp

Question 11

oz to mL

Answer 11

1 oz = 30 mL

Question 12

methylphenidate (ritalin, concerta, metadate, daytrana)

Answer 12

amphetamine-like drug (ADD/ADHD)

Question 13

dexmethylphenidate (focalin)

Answer 13

amphetamine-like drug (ADD/ADHD)

Question 14

dextroamphetamine (dexedrine)

Answer 14

amphetamines (ADD/ADHD)

Question 15

amphetiamine/dextroamphetamine (adderall)

Answer 15

amphetamines (ADD/ADHD)

Question 16

lisdexamfetamine (vyvanse)

Answer 16

amphetamines (ADD/ADHD)

Question 17

-methylphenadate

Answer 17

amphetamine-like

Question 18

-amphetamine

Answer 18

amphetamine drug

Question 19

atomoxetine (strattera)

Answer 19

NE reuptake inhibitor

Question 20

guanfacine (tenex, intuniv)

Answer 20

central alpha agonist

Question 21

-ipramine

Answer 21

tricyclics

Question 22

ADD/ADHD tx

Answer 22

1. stimulants (amphetamine or amphetamine-like both OK)
2. try other stimulant class
3. non-stimulants (NE reuptake inhibitor, central alpha agonist, TCA, buproprion)