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Flashcards in Pediatric Therapies Deck (71)
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1

What is DMDD?

Disruptive mood dysregulation disorder

2

What, generally, is DMDD?

-Chronic, severe, persistent irritability

3

What is conduct disorder?

a psychological disorder diagnosed in childhood or adolescence that presents itself through a repetitive and persistent pattern of behavior in which the basic rights of others or major age-appropriate norms are violated

4

What is the prognosis for conduct disorder?

Early = leads to sociopathy
Later = better prognosis

5

What is the boy:girl ratio of ADHD? Prevalence?

-4:1 to 9:1
-5%

6

What are the three domains of ADHD?

Inattention
Hyperactivity
Impulsivity

7

ADHD has an onset before what age? What is the duration that is needed to meet criteria? How many setting must this be seen in?

-before age 12
-Duration over 6 months
-At least 2 settings

8

There is a high comorbidity of ADHD with what other disorders?

-ODD
-CD
-learning disorder

9

What is the key difference between learning disability vs ADHD?

ADHD is a global problem vs disability is usually in one specific subject area

10

True or false: ADHD is overdiagnosed

Debateable

11

True or false: most kids will outgrow ADHD

True--frontal lobe grows, and learning strategies improve

12

True or false: TV causes ADHD

Possibly?-- may be related to stimulus

13

True or false: ADHD is associated with eating preservatives and additives

Maybe?

14

True or false: ADHD is a clinical diagnosis

True

15

What must be true of ADHD symptoms in regards to setting?

must be preset at both home and school

16

What are the common side effects of ADHD stimulants?

-GI symptoms
-Decreased appetite
-Blunted affect

17

What is the thinking behind the stimulant prescription for ADHD?

Stimulate the frontal lobe

18

True or false: stimulants have a high efficacy for ADHD

True

19

What can happen to affect with stimulant use that should be monitored for? (3)

Blunts, with flat affect

BP and pulse

20

What may happen with stimulant use in a kid with an underlying psychiatric disorder? Why?

Hallucinations and other psychiatric symptoms--increases dopamine release

21

What are the first line drugs for ADHD?

Methylphenidate--Ritalin

22

Why should amphetamine products be avoided as a first line therapy for ADHD?

Much greater side effect profile

23

How fast do amphetamines work with ADHD?

Hours to days

24

What are the familial disorders of untreated ADHD?

Increased parental divorce and sibling fights

25

What are the societal consequences of untreated ADHD?

Increased Substance abuse

26

What can be done with rebounding off of ADHD meds? (2)

Short acting stimulants or alpha-2 agonists (apraclonidine)

27

What is the only nonstimulant used for ADHD? MOA? Benefit? Downside?

-Atomoxetine
-NE reuptake inhibitor
-No rebounding, but less efficacious

28

What are the major side effects of Atomoxetine?

Hepatotoxic

29

What is the MOA of clonidine? Why use in ADHD?

-Alpha-2 agonists
-treats impulsivity

30

What should be done prior to administering a stimulant for ADHD?

Cardiac exam and ECG if indicated