CMN 574 UNIT 3 EXAM
ADD/ADHD
3 types:
1: Predominantly inattentive
2. Predominately hyperactive/impulsive
3. Combined
Executive Function Impairment with ADD/ADHD
(1) shifting from one mindset or strategy to another (ie, flexibility)
(2) organization (eg, anticipating both needs and problems)
(3) planning (eg, goal setting)
(4) working memory (ie, receiving, storing, then retrieving information within short-
term memory)
(5) separating affect from cognition (ie, detaching one's emotions from one's reason)
(6) inhibiting and regulating verbal and motoric action (eg, jumping to conclusions
too quickly, difficulty waiting in line in an appropriate fashion).
Medications interacting with ADHD meds
Anticonvulsants
Antihypertensives
,Caffeine containing drugs
Pseudoephedrine
Ephedra
MAOIs
meds metabolized by cytochrome P450 CYP 2D6
Work up for ADD/ADHD
LFT
CBC
-periodic drug screen if abuse is suspected
Anorexia Nervosa - adult dx
BW <15% below expected
Disturbance of body image & intense fear of becoming fat
In females - absence of 3 consecutive menstrual cycles
2 types:
1) Restricting calories
2) binge eating/purging
*can have combination
Labs:
thyroid
, electrolytes
LFTs
cholesterol
UA
EKG
bone density
-Osteoporosis common s/e in females with amenorrhea
Anorexia Nervosa Signs & Symptoms
Hypothyroid - brittle nails, thinnig hair, dry skin
Low body temp
Bradycardia (supine)
Orthostasis
Hypotension 2nd to impaired cardiac function
prolonged QTc syndrome
at risk for cardiac arrhythmias
impaired peripheral circulation
Lanugo (sign of starvation)
Inability to intake normal quantity of food in GI tract - early satiety, bloating, delayed
gastric emptying, constipation
ADD/ADHD
3 types:
1: Predominantly inattentive
2. Predominately hyperactive/impulsive
3. Combined
Executive Function Impairment with ADD/ADHD
(1) shifting from one mindset or strategy to another (ie, flexibility)
(2) organization (eg, anticipating both needs and problems)
(3) planning (eg, goal setting)
(4) working memory (ie, receiving, storing, then retrieving information within short-
term memory)
(5) separating affect from cognition (ie, detaching one's emotions from one's reason)
(6) inhibiting and regulating verbal and motoric action (eg, jumping to conclusions
too quickly, difficulty waiting in line in an appropriate fashion).
Medications interacting with ADHD meds
Anticonvulsants
Antihypertensives
,Caffeine containing drugs
Pseudoephedrine
Ephedra
MAOIs
meds metabolized by cytochrome P450 CYP 2D6
Work up for ADD/ADHD
LFT
CBC
-periodic drug screen if abuse is suspected
Anorexia Nervosa - adult dx
BW <15% below expected
Disturbance of body image & intense fear of becoming fat
In females - absence of 3 consecutive menstrual cycles
2 types:
1) Restricting calories
2) binge eating/purging
*can have combination
Labs:
thyroid
, electrolytes
LFTs
cholesterol
UA
EKG
bone density
-Osteoporosis common s/e in females with amenorrhea
Anorexia Nervosa Signs & Symptoms
Hypothyroid - brittle nails, thinnig hair, dry skin
Low body temp
Bradycardia (supine)
Orthostasis
Hypotension 2nd to impaired cardiac function
prolonged QTc syndrome
at risk for cardiac arrhythmias
impaired peripheral circulation
Lanugo (sign of starvation)
Inability to intake normal quantity of food in GI tract - early satiety, bloating, delayed
gastric emptying, constipation
