Case study adha

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Answer the questions based on this case study

1-Assess the severity of ADHD based on the subjective and objective information available.

2- Create a list of the patient’s drug therapy problems and prioritize them. Include assessment of medication appropriateness, effectiveness, safety, and patient adherence.

Chief Complaint


“My son has trouble focusing and sitting still while completing his afternoon homework.”





HPI




David Handlon is a 10-year-old boy who returns for a routine visit to his psychiatrist with his mother. He was diagnosed 2 years ago with ADHD and is currently being treated with Adderall XR 20 mg every morning. His mother states that during the last parent–teacher meeting, his teacher indicated that David’s behavior is well controlled during the day. Despite David’s good behavior during the day, his mother reports difficulty getting David to complete any afternoon tasks or assignments after school. David’s rules include no playtime activities until he has completed his afternoon homework assignments. Instead of focusing on homework, David insists on playing Guitar Hero® in his room, and he sometimes carelessly throws his guitar. David has also exhibited impulsive and reckless behavior when interacting with his younger 8-year-old brother. Initially David’s mother thought the medication was working. However, within the past year, David’s afternoon antics have progressively gotten worse. Mrs Handlon is afraid that uncontrolled afternoon antics will have serious repercussions on David’s daytime behavior and grades. She questions, “What are my options?”





PMH




Asthma × 3 years




ADHD × 2 years




Tonsillectomy (1 year ago)




Broken wrist at age 8 (fell from tree)




Vaccinations up to date





FH




Both father and uncle have a history of hyperactivity and are currently receiving treatment as adults.





SH




Lives with both parents and younger brother in the suburbs





Meds




Adderall XR 20 mg daily (given every morning at 7:00 AM)

Albuterol inhaler two puffs Q 4–6 H PRN shortness of breath

Montelukast 5 mg PO daily




All




NKDA





ROS




Physical assessment was difficult to assess for David as he could not sit still for more than 30 seconds and was jumping off of the exam table. Asthma symptoms appear controlled with PRN inhaler use at bedtime only and daily 
montelukast.



PE





Gen




Well-nourished, healthy-appearing male child, normal physical development





VS




BP 110/72 mm Hg, P 82 bpm, RR 25, T 37.5°C; Wt 50 kg, Ht 5′2″





Skin




No signs of rash, skin irritation, or bruising noted. Scar noticed on left wrist from where he fell from tree. Minor cuts on knees from frequent falls on school playground.





HEENT




Unable to assess





Neck/Lymph Nodes




Unable to assess





Lungs/Thorax




No rales, rhonchi, or wheezing





CV




RRR





Abd




Deferred





Genit/Rect




Deferred





MS/Ext




Unable to assess





Neuro




A&O × 3; no underlying tics noted





Labs




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Na 138 mEq/L

K 3.8 mEq/L

Cl 106 mEq/L

CO2 23 mEq/L

BUN 18 mg/dL

SCr 0.8 mg/dL

Glu 110 mg/dL

Hgb 14 g/dL

Hct 44.5%

RBC 4.6 × 106/mm3

Plt 278 × 103/mm3

MCV 85 μm3

MCHC 33 g/dL

 

WBC 9 × 103/mm3

 Neutros 66%

 Bands 2%

 Eos 3%

 Lymphs 24%

 Monos 5%

 

Mag 1.8 mg/dL

Serum iron 95 mcg/dL

TSH 3.6 mIU/L

 

 

 

 




ECG




NSR; changes not clinically significant





Assessment


1.

ADHD


2. Mild-persistent asthma, well controlled with PRN 
albuterol and daily 
montelukast

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