Week 11 Peds neuro Flashcards
How are seizures determined?
site of origin
What is the most treatable neurological disorder in children?
seizures
What is epilepsy?
2 or more unprovoked seizures
What is an acute symptomatic seizure?
head injury
meningitis caused
What is remote symptomatic seizure?
Prior brain damage (encephalitis)
meningitis
stroke
What is cryptogenic seizure?
no clear cause
What is idiopathic seizure?
genetic in origin
What is the goal of therapeutic managment?
control seizures
reduce frequency and severity
Discover and correct the cause
What medication is given for seizure in hosptial?
Ativan (Lorazepam) IV
What diet should a child with seizures follow?
Ketogenic
What nerve is stimulated in a kid with seizures?
vagus nerve
Is surgery performed for kids with seizures?
Yes - sometimes to cut the connections or remove parts of the brain
What is the most common reason for seizures in kids?
Febrile seizures
How do we help a kid with febrile seizure?
Tepid bath
what age do febrile seizures usually occur?
<5
What is the definition of Cerebral palsy?
a group of neuro disorders that affect a person’s ability to move & maintain balance & posture
What is the most common motor disability in kids?
Cerebral palsy
What do kids with CP deal with physically?
exaggerated reflexes
floppiness or spasticity of the limbs & trunk
unusual posture
involuntary movements
unsteady walking
combo of the above
What are the goals of care in cerebral palsy?
Rehab
meds (botox, muscle relaxants, analgesics)
Nutrition/feeding
Dental care (d/t bruxism, give meds like muscle relaxants)
what med helps with muscle relaxing?
Baclofen
Why is feeding an issue sometimes?
tightness in the jaw
What GI issue do kids with CP have?
GERD - maybe need GT d/t aspiration
What GI issues do kids with CP have?
GERD
Constipation
What GU issues do kids with CP have?
Retention = infections
What Respiratory issues do kids with CP have?
aspiration
What skin issues do kids have?
pressure sores
contractures
dryness
nutrition issues
immobile= skin issues
What is the life expentency for someone with CP?
30-70 years
what do kids with CP often pass away from?
Aspiration pneumonia