Disorders of unknown etiology Flashcards
what are two disorders of unknown etiology
ALTE
SIDS
ALTE characteristics
life threatening event
infants >37 weeks gestations
apnea of infancy characteristics
apnea >20 seconds
color change- cyanosis or pallor
marked change in muscle tone
chocking or gagging
ALTE causes
50% idiopathic
50% symptoms of another disorder
risk of SIDS increased
diagnostic evaluation of ALTE
cardiopneumogram or pneumocardiogram
polysomnography (sleep study)
therapeutic management of ALTE
continuous cardiorespiratory monitoring until episode free for 6 months
methylxanthine
education of caregivers of kids with ALTE
CPR attend to infant not monitor no extension cords machine can interfere with TV, Radio's, cell phones and police scanners have emergency phone numbers in phones
what is SIDS
sudden death of infant under 1 year of age that occurs during sleep and remains unexplained
SIDS is the leading cause of death in what age range of child?
1-12 months
what is the peak age of SIDS
2-4 months
what ethnicity has the highest incidence of SIDS?
native americans
african americans
hispanics
there is an increased incidence of SIDS in
males
lower socioeconomic classes
winter months
infant and maternal characteristics of SIDS
premature and low birth weight multiple births low Apgar score bottle fed maternal age prenatal and postnatal smoking substance abuse poor prenatal care
what is the ideal temp to prevent SIDS?
72 degrees
what is the best positions for infants to sleep?
back is best
