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Chapter 22
Neurodevelopmental Disorders
| Question | Answer |
|---|---|
| ADHD | Persistent pattern of inattention ,and or hyperactivity and impulsivity |
| What is needed for a diagnosis of ADHD? | Symptoms must appear in two different environments |
| Treatment goal for ADHD | -Manage Symptoms -Reduce hyperactivity and impulsivity -Increase attention span |
| Medications for ADHD Treatment | -CNS Stimulants -Antidepressants -Adrenergic agonists |
| CNS Stimulants does what to the body? | - Increases norepinephrine in the brain |
| Adverse affects of CNS Stimulants? | -Increase Blood pressure and heart rate -Insomnia -Decreases appetite |
| What is the first line drug treatment of ADHD? | CNS Stimulants |
| Methylphenidate | Ritalin |
| Ritalin | Methylphenidate |
| Adderall | Amphetamine Compound |
| Amphetamine Compound | Adderall |
| Wellbutrin | Buproion |
| What kind of drug is Wellbutrin (Buproion) | SNRI |
| Why would someone use Wellbutrin for ADHD instead of a CNS Stimulant? | - Can be used if the person has had drug addiction in the past -Easier medication upkeep |
| What do adrenergic agonists do to the brain? | Slows the brain down making it easier to focus |
| What kind of medication is Methylphenidate (Ritalin)? | CNS Stimulant |
| What kind of medication is amphetamine compound (Adderall)? | CNS Stimulant |
| What kind of medication is Guanfacine? | adrenergic agonist |
| What kind of medication is Clonidine? | adrenergic agonist |
| Patient teaching for adrenergic agonists? | - Take at night -Take with glass of water -Monitor BP |
| Side effects of adrenergic agonists? | - Weight gain -GI upset -orthostatic hypotension -Drops blood pressure |
| Intellectual developmental disorders? | Individuals with an IQ of less then 70 and deficits in adaptive functioning |
| Autism Spectrum Disorder | Continuum of social and communication impairment |
| What is ASD Severity dependent on? | Level of social impairment |
| Characteristic of ASD | -Inability to engage in play -hyperfocus -Sensitivity to light, sound, touch, fabrics and smells. |
| Onset for ASD | 18 months- 3 years old |
| Treatment nursing implications | -1:1 is best -Keep things structured - Understand how they communicate -Know their triggers to help alleviate anxiety |
| Motor skill disorders | Affects developmental milestones like crawling, walking and fine motor dexterity |
| Developmental coordination disorder | Impairments in motor skill development that interferes with academic achievement and ADLS |
| Stereotypic movement disorder | Repetitive purposeless movements outside of autism can be paired with intellectual disability |
| Cophilalia | Tic where individual curses and uses obscene language |
| Palilalia | Repeating Self |
| Echolalia | Repeating others |
| Tourette's Disorders | Multiple motor tics and 1 or more vocal tics occurs more many times a day for over a year |
| Transient tic disorder | Multiple motor tics and 1 or more vocal tics occurs more many times a day for no more than 12 months |
| Chronic motor or tic disorder | Either vocal tics or motor tics. Not both |
Created by:
kyebula