BRUE and SIDS Flashcards
1
Q
what does BRUE stand for
A
brief resolved unexplained event
2
Q
BRUE events
A
- apnea
- color change
- change in tone
- choking or gagging
3
Q
causes of BRUE
A
- 50% no cause found
- GERD
- LRI
- seizure
- laryngospasm, breath holding, intracranial events, cardiovascular, metabolic derangements
4
Q
what age typical for BRUE
A
< 6 mo
5
Q
most valuable assessment tool for BRUE
A
patient history:
- caregiver details
- birth history
- previous episodes
- illness
- growth and weight development
6
Q
details of BRUE episode to record
A
- who observed
- social hx
- condition of infant before/after
- assoc. w/ feedings
- details of breathing, color, tone, choking, gasping
- seizure activity
7
Q
PE in BRUE
A
- R/O physical abuse!
- VS, LOA, PO2, neuro
- cardiorespiratory
- skin: rash, hemangioma, cafe au lait, ash leaf spots
8
Q
minimum tests if hospitalized ONLY
A
- CBCd
- CRP
- glucose
- urinalysis
- pertussis/RSV
- O2 levels
more specific:
- serum metabolic studies
- urine toxicology
- GERD (pH probe)
- EEG
- head imaging
9
Q
when BRUE apnea monitoring warranted
A
- cardiac and pulmonary disease
- extreme prematurity w/ known apnea
10
Q
does BRUE predict SIDS
A
No
11
Q
SIDS definition
A
unexplained death of infant < 12 months old
12
Q
when SIDS occurs
A
- rare in 1st mo
- peaks at 2-4 mo
- 90% occur before 6mo
13
Q
how to reduce SIDS
A
50% reduction with “back to sleep”
14
Q
SIDS risk factors
A
- prone sleep
- smoking in pregnancy
- late/no prenatal care
- preterm birth
- male
- AA, native am., alaskan
- soft sleep surfaces
- secondhand smoke
- young maternal age
- low birthweight
- overheating
15
Q
suspected causes of SIDS
A
- maldevelopment of brainstem neural network responsible for arousal
- too deep sleep to arouse if airway compromised
