Answer:
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Answer: Yes, it is unusual to have prominent symptoms of ADHD before age of two and almost many adults were never been diagnosed about ADHD in their childhood. Among them most of the people outgrow the symptoms but some of them develops a range of new symptoms in adolescent and adult stage of life. ADHD is worldwide prevalent in Children of 3 to 6 years of age with percentile of 5.29.
Explanation: ADHD, Attention Deficit Hyperactivity Disorder main cause is not exactly known but it is mainly a neurotransmitter or dopamine dysregulation at the early stage of life also research have proven that it runs down in a family. Apart from inheritance or Genetic factors, Pregnancy problem like low birth weight, exposure to alcohol smoke lead might become the factors to impose ADHD to individuals. ADHD symptoms likely to appear either as early in the age of 3 or before the age of 7. The symptoms might continue to adolescent or adult stages or often go away. The symptoms are probably different for every age group. Like Children display inattentive behavior, easy to distract from external stimuli, learning disabilities, unable to solve school work, low self-esteem, emotional dysregulation, low frequency of indoor and outdoor activities and anxiety. If the symptoms advances to adolescent or adult stage the person would suffer challenges in decision making, planning and organizing, maintaining relationship with parents and sibling and also in making friends. The ADHD can be treated by Behavior therapy and parents training and educational programs.
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Based on the aptt result, the nurse should immediately discontinue injections of Heparin to the patient. The patient is already having abnormally high aptt of 92. High aptt exceeding 70 which in the case of the patient is 92 is an indication that he is on spontaneous bleeding or hemorrhage. The nurse must immediately report the result to the attending physician for management.
