NURS 660 Exam 4 Review (Study Guide Chapter 13 ADHD) 2023

NURS 660 Exam 4 Review (Study Guide) 2023 - Chapter 13: ADHD. Substance abuse and ADHD address substance abuse first before the ADHD symptoms, don’t automatically put them on a stimulant, treat SA then go back and treat ADHD sx 7) Inattentive symptoms of ADHD are noticeable at 5-6 years old 8) Grow out of ADHD?? In 50% of patients, adult ADHD may occur because frontal lobe doesn’t catch up, demonstrates impulsiveness and hyperactive sx 9) Which stimulant transports into the neurons via the dopamine transporter? Amphetamine (e.g. Adderall) gets dopamine into the neurons via the dopamine transporter 10) Non-stimulant, know how atomoxetine (Strattera) works and why it’s recommended for people with addiction problems? It increases the dopamine levels in the prefrontal cortex and not the nucleus accumbens 11) If you want to get tested for ADHD is you can have a functional MRI. The Stroop Task in the anterior cingulate loop (ACC) loop 12) Know about the N-back Test 13) Know that guanfacine is a selective 2A agonist; clonidine is also a alpha 2 agonist, however, guanfacine is better tolerated than the alpha 2 agonist clonidine (tics, nightmares). 2 Chapter 13: Dementia 14) Rivastigmine works by inhibiting the periphery intake of acetylcholine (AChE) and butyrlcholinesterase (BuChE) 15) PET imaging, what are they looking for to see if you have a genetic link to Alzheimer’s? APOE4 is the genetic link associated with Alzheimer’s 16) The medications for Alzheimer’s are usually inhibitors of gamma, secretase and beta. The amyloidogenic pathway amyloid precursor protein (APP) is first cleaved by that beta secretase. That’s why some of the medicines inhibit (stop) it. 17) The biomarkers used for Alzheimer’s are the elevated CSF, Tau, and the decreased CSF beta amyloid. Know how to test patients in that prodromal period