sleep medicine in children Flashcards

1
Q

before 36 weeks is it normal for children to periodically stop breathing while sleeping?

A

yes

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2
Q

what are the abnormal if infants <36 weeks stop breathing periodically while sleeping?

A

colour change

HR change

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3
Q

how long do 6 month old children typically sleep?

A

14-15hrs made up of 2 long sleep period at night and 1-2 naps during the day

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4
Q

how long do 2 year olds typically sleep?

A

12 hrs, one day time nap

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5
Q

what sort of sleep do prepubescent children have?

A

highly efficient

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6
Q

what sort of sleep do adolescents have?

A

more awakenings then prepubuscent children. require more sleep but dont get it

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7
Q

what are the assessments to monitor sleep?

A
polysomnopgraphy
direct behavioural observation
time-lapse video
movement sensors on matress
O2 or CO2 monitoring
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8
Q

after what age is enuresis and napping abnormal?

A

3-5y

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9
Q

if a one year old sleeps 8 hours at night and doesnt nap is it abnormal?

A

yes

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10
Q

is sleep walking abnormal in toddlers?

A

no

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11
Q

if an unmedicated adult is unarousable from sleep is this normal?

A

no

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12
Q

are sleep terrors normal?

A

yes

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13
Q

are hypnic jerks abnormal?

A

yes

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14
Q

what are the six main causes of sleepiness?

A
  • behavioural problems- infants usually wake up during the night
  • medication
  • neurological disorders
  • insufficient sleep
  • OSAS
  • narcolepsy
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15
Q

what is primary snoring?

A

snoring withous apnoea, hypoventilation, hypercarbia, daytime symptoms

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16
Q

what can primary snoring progress to?

A

OSAS

17
Q

what are the associated morbidities with OSAS?

A

failure to thrive
neurocognitive defects/ ADHD
(systemic hypertension and cor pulminale, both rare)

18
Q

what causes OSAS in children?

A

inflammation of the tonsils and adenoids

19
Q

what is common in child OSAS but not adult?

A

mouth breathing, enlarged tonsils, hypoventilation

20
Q

what is common in adult OSAS but not child?

A

daytime sleepiness, obesity, apnoea

21
Q

what is the treatment for OSAS in children?

A

adenotonsillectomy
CPAP
weight loss
avoid tobacco smoke

22
Q

how can chronic neonatal lung disease affect sleep?

A

it can cause the hypoxaemia in REM sleep

also causes cardiac complicatios

23
Q

hoe can CF affect sleep

A

FEV1 is 30-60% which causes decrease in oxygen saturation which can cause less REM and more awakenings

24
Q

can asthma disturb sleep?

A

yes

25
Q

how does cerebral palsy affect sleep?

A

fragmented sleep/delayed onset and issues with melatonin

26
Q

how does down syndrome affect sleep?

A

it can cause OSAS

27
Q

how does Prader-Willi syndrome affect sleep?

A

can cause excessive daytime sleepiness

28
Q

how can duchenne muscular dystrophy affect sleep?

A

there is nocturnal desaturation if FVC < 1litre