Attention Deficit HyperactivityDisorder (ADHD)

Descrição

Part of chapter 16: Drugs for emotional, mood, and behavioral disorders.
Usuário eliminado
Mapa Mental por Usuário eliminado, atualizado more than 1 year ago Mais Menos
Olivia McRitchie
Criado por Olivia McRitchie aproximadamente 6 anos atrás
Olivia McRitchie
Copiado por Olivia McRitchie aproximadamente 6 anos atrás
4
0

Resumo de Recurso

Attention Deficit HyperactivityDisorder (ADHD)
  1. Characteristics
    1. Not an emotional or mood disorder.
      1. Behavior disorder affecting as many as 5% of all children.
      2. Developmentally inappropriate behaviors involving difficulty paying attention or focusing on tasks.
        1. Diagnosed when hyperactivity interferes w/normal play, social, or learning.
          1. Child may be fidgety, impulsive, interrupt more, and talk excessively during developmental years. Social growth is delayed,
          2. Activity lvl more overt in boys; girls show less impulsiveness & aggression but more anxiety, mood swings, social withdrawal, and cognitive & language delays.
            1. Girls also tend to be older at time of diagnosis.
            2. Even gifted children may have trouble in school b/c they have difficulty following a conventional routine.
              1. Discipline may be a problem.
                1. Etiology largely unknown. Lead, prenatal exposure to drugs and alcohol, genetics, and environment may all be factors.
                  1. Sugars, chocolate, high-carb foods and beverages, and certain additives have been blamed, but that has been refuted.
                  2. Deficit or dysfunction of dopamine, norpeinephrine, or serotonin in the reticular activating system may be cause.
                    1. Families of these children must be educated about behavioral strategies for their children.
                      1. From an early age, the child must be educated about the disorder and understand there's consequences for actions.
                        1. Self-esteem should also be fostered so self-worth can develop.
                          1. Know importance of meds management & compliance.
                        2. 1/3-1/2 of ADHD children have it as adults.
                          1. Looks similar to a mood disorder
                            1. May have problems with keeping jobs, drug & alcohol abuse
                          2. Left untreated, it can cause low self-esteem, diminished social success, and criminal or violent behavior.
                          3. Pharmacotherapy
                            1. Main treatment is CNS stimulants.
                              1. These reverse many of the symptoms, helping pt. focus.
                                1. May cause paradoxical hyperactivity.
                                  1. Side effects include insomnia, nervousness, anorexia, weight loss, dizziness, depression, irritability, nausea, or abdominal pain.
                                    1. All are schedule II
                                      1. Methylphenidate (Ritalin) abuse is increasing in teens who want to stay awake or lose weight.
                              2. Non-CNS stimulants.
                                1. Less efficacy when taken alone, but good for adjunctive therapy.
                                  1. Atomoxetine (Strattera) selectively inhibits presynaptic release of norepinephrine
                                    1. Some of these drugs work for 24 hr w/few and tolerable adverse effects.
                                      1. Similar efficacy to methylphenidate,
                                        1. Side effects include headache, insomnia, upper abdominal pain, anorexia, and cough.
                                          1. Not a scheduled substance.

                                    Semelhante

                                    Como Estudar Química
                                    Alessandra S.
                                    Evolução Biológica: os mecanismos. A formação de novas espécies I
                                    Bruno Fernandes3682
                                    Conceitos de Contabilidade
                                    Alessandra S.
                                    Exame Nacional de Português 2
                                    Sandra Franco
                                    Ecologia I
                                    kyungsos
                                    ANATOMIA
                                    flavio.paulo
                                    Direito Constitucional I - Cartões para memorização
                                    Silvio R. Urbano da Silva
                                    Guia - Projeto de Pesquisa e ABNT
                                    Joana Meira
                                    Globalização e Revoluções técnico-científicas
                                    João Victor
                                    Year 4 - Semana 2
                                    Juliana Campos