ALTE BRUE SIDS Flashcards

1
Q

ALTE definition

A

apparent life threatening events

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2
Q

ALTE was defined by…

A

concerned parent or caregiver.

  • change in color, tone or breathing of infant noticed by caregiver
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3
Q

ALTE answer is typically…

A

in the history confirmed by physical exam

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4
Q

50% of time ALTE…

A

nothing was found just concerned parent

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5
Q

ALTE ddx

A

MC:

  • GERD
  • lower airway infxn
  • seizure (eye mvmt, limbs jerking)

next:
- sepsis (fevers?)
- cardiac (FTT, murmur)
- abuse (multiple injuries)

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6
Q

BRUE next model

A

brief resolved unexplained event

  • must be under 1 yr
  • less than 1 min episode
  • change color, tone, breathing, responsiveness

if you have this divide brue into low and high risk groups

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7
Q

low risk BRUE def

A
  • things that do not have a history or physical that have signs of anything big:
  • no CPR required
  • first time, not recurring
  • no fever
  • no s/s abuse
  • no seizure like activity
  • term baby over 60 day low risk
  • preterm baby gestational age over 32 weeks and post conception age greater than 45
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8
Q

low risk BRUE tx

A

reassure do not due anything

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9
Q

high risk brue tx

A

monitor, investigate find source

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10
Q

SIDS definition

A
  • child who dies for no known cause

- dx made after child passes

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11
Q

SIDS prevention

A
  1. back to sleep!
    - flatten head
    - rotate head position
  2. dont share bed
    - smother risk
  3. smoking cessation
    - higher risk allergies, URI, infxn
  4. kids preemie and congenital problems higher risk
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12
Q

SIDS what you do not do

A

no EKG, apnea, or try to predict who will get SIDS

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13
Q

ALTE BRUE related to getting SIDS?

A

no seperate things

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