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14 Cards in this Set
- Front
- Back
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1. Apparent life-threatening event (ALTE)?
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a. Observations and Events by a caregiver as life-threatening.
b. By definition, the event is observed. c. Myriad conditions may be responsible, including cardiac, respiratory, CNS, metabolic, infectious, and GI causes. |
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2. Apnea definition?
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a. Cessation of breathing for at least 20 seconds that may be accompanied by bradycardia or cyanosis.
b. Recurrent episodes of apnea related to immaturity may occur in premature infants c. Usually resolve by 37 weeks post-gestational age. |
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3. Sudden Infant Death Syndrome (SIDS)?
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a. The sudden death of an infant that cannot be explained by results of a postmortem exam, death scene investigation, and historical information.
b. Most occur between 1-5 months of age, w/peak incidence between 2-4 months. c. More common in Winter!!!! |
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4. In what populations is SIDS more common?
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a. Blacks and Native Americans.
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5. Note: SIDS is the most common cause of death in infants between the ages of 1 week and 1 year.
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5. Note: SIDS is the most common cause of death in infants between the ages of 1 week and 1 year.
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6. Independent risk factors for SIDS?
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1. Prone sleep position!!!!
2. Sleeping on a soft surface 3. Pre- and postnatal exposure to tobacco smoke 4. Overheating 5. Late or no prenatal care 6. Young maternal age 7. Prematurity!!!! and/or low birth weight 8. Male gender!!! |
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7. Note: explainable causes of death can be divided into congenital and acquired conditions
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7. Note: explainable causes of death can be divided into congenital and acquired conditions
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8. Congenital causes of death?
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a. Cardiac anomalies (arrhythmias, congenital heart disease)
b. Metabolic disorders c. CNS aetiologies |
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9. Acquired causes of death?
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a. Infection
b. Both accidental and intentional trauma. |
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10. What should be considered with a history of reported feeding difficulties or emesis?
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a. Consideration of swallow studies
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11. What should be considered with a history of unusual posturing or movements?
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a. EEG. (Electroencephalogram).
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12. Has home cardiorespiratory monitoring been shown to decrease the incidence of SIDS?
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a. No.
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13. When is monitoring recommended?
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a. For symptomatic premature infants (ie, those w/apnea and bradycardia) but can safely be discontinued by 43 weeks post-gestational age in most cases.
b. Monitoring many also be warranted for children w/certain underlying chronic conditions, such as those w/chronic lung disease. |
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14. Complete
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14. Complete
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