Week 11 Peds neuro Flashcards

1
Q

How are seizures determined?

A

site of origin

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2
Q

What is the most treatable neurological disorder in children?

A

seizures

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3
Q

What is epilepsy?

A

2 or more unprovoked seizures

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4
Q

What is an acute symptomatic seizure?

A

head injury
meningitis caused

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5
Q

What is remote symptomatic seizure?

A

Prior brain damage (encephalitis)
meningitis
stroke

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6
Q

What is cryptogenic seizure?

A

no clear cause

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7
Q

What is idiopathic seizure?

A

genetic in origin

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8
Q

What is the goal of therapeutic managment?

A

control seizures
reduce frequency and severity
Discover and correct the cause

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9
Q

What medication is given for seizure in hosptial?

A

Ativan (Lorazepam) IV

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10
Q

What diet should a child with seizures follow?

A

Ketogenic

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11
Q

What nerve is stimulated in a kid with seizures?

A

vagus nerve

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12
Q

Is surgery performed for kids with seizures?

A

Yes - sometimes to cut the connections or remove parts of the brain

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13
Q

What is the most common reason for seizures in kids?

A

Febrile seizures

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14
Q

How do we help a kid with febrile seizure?

A

Tepid bath

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15
Q

what age do febrile seizures usually occur?

A

<5

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16
Q

What is the definition of Cerebral palsy?

A

a group of neuro disorders that affect a person’s ability to move & maintain balance & posture

17
Q

What is the most common motor disability in kids?

A

Cerebral palsy

18
Q

What do kids with CP deal with physically?

A

exaggerated reflexes
floppiness or spasticity of the limbs & trunk
unusual posture
involuntary movements
unsteady walking
combo of the above

19
Q

What are the goals of care in cerebral palsy?

A

Rehab
meds (botox, muscle relaxants, analgesics)
Nutrition/feeding
Dental care (d/t bruxism, give meds like muscle relaxants)

20
Q

what med helps with muscle relaxing?

A

Baclofen

21
Q

Why is feeding an issue sometimes?

A

tightness in the jaw

22
Q

What GI issue do kids with CP have?

A

GERD - maybe need GT d/t aspiration

23
Q

What GI issues do kids with CP have?

A

GERD
Constipation

24
Q

What GU issues do kids with CP have?

A

Retention = infections

25
Q

What Respiratory issues do kids with CP have?

A

aspiration

26
Q

What skin issues do kids have?

A

pressure sores
contractures
dryness
nutrition issues
immobile= skin issues

27
Q

What is the life expentency for someone with CP?

A

30-70 years

28
Q

what do kids with CP often pass away from?

A

Aspiration pneumonia