|COMPLETE QUESTIONS AND VERIFIED ANSWERS
(GRADED A+) DETAILED ANSWERS.
Recommend sleep hygiene techniques
Rationale: Stimulant medications may cause sleep
disturbances, especially if the doses are taken later in the
day. Amphetamine/dextroamphetamine immediate release
has a duration of 4-8 hours, while extended-release has a
duration of 8-12 hours. Switching to extended-release
dosing and improving sleep hygiene may help improve
sleep. Alternatively, the second dose of
amphetamine/dextroamphetamine immediate release can
be taken earlier in the day.
,Addison is a 9-year-old who was diagnosed with ADHD
predominantly combined presentation and was prescribed
methylphenidate extended-release chewable tablets 20
mg once daily. Since she has started taking the
medication, her appetite has decreased. She is 51 inches
tall, and her initial weight was 58 lbs. She has lost 8 lbs.
since beginning treatment.
Which of the following medication adjustments is
appropriate for Addison?
implement stimulant holidays on weekends and non-
school days
decrease the dosage of methylphenidate extended-
release to 10 mg daily
,switch to methylphenidate immediate-release 20 mg once
daily
switch to atomoxetine 25 mg once daily - ANSWER-
implement stimulant holidays on weekends and non-
school days
Rationale: Stimulant holidays combined with caloric
supplementation and monitoring can help offset stimulant-
related weight loss. Switching to a non-stimulant
medication may be warranted if drug holidays do not
provide the desired result of weight stabilization.
, ADHD nonpharmacologic tx - ANSWER--Schools
• educational support, behavioral interventions in the
classroom, and accommodations
-Psychotherapy
• CBT
• social and organizational skill training
• family therapy.
• Under age 6
➣American Academy of Pediatrics (AAP) recommends
parent training in behavior management as a first-line
intervention
ADHD parent training in behavior management -
ANSWER--What parents learn: