Sleep Disturbance - Kids Flashcards
How do we assess a childs sleep pattern?
Polysomnography Direct Behavioural Observation Time lapse overnight video In cot movement sensors O2/CO2 monitoring
What could cause a child to be excessively sleepy?
Not enough Sleep
OSA
Narcolepsy
Prader-Willis Syndrome
What often causes OSA in children?
Enlarged Tonsils
How is OSA treated in kids?
Adenotonsilectomy
CPAP
Weight Loss
Avoid enviromental tobacco
What can kids with OSA develop as a consequence?
Failure to Thrive
Neurocognitive Defect
Hypertension
Cor Pulmonale
What potentially worrying conditions are normal in kids?
Napping/Enuresis is only ‘relatively’ abnormal after 3-5 yrs.
Sleep walking is normal
Sleep terrors & hypnogogic Jerks
How does Duchenne’s muscular dystrophy affect kids and how is it treateD?
It causes nocturnal desaturation and can progress to resp. failure and death.
ITs treated with BiPAP (Bilevel Positive Airway Pressure)
How does cerebral palsy affect sleep in kids/treatment?
IT causes delayed or fragmented sleep and we treat with melatonin
What other resp. conditions can affect kids sleep?
Cystic Fibrosis
Snoring can progress to OSA
Chronic Neonatal Lung Disease
Downs can lead to OSA