ALTE BRUE SIDS Flashcards
1
Q
ALTE definition
A
apparent life threatening events
2
Q
ALTE was defined by…
A
concerned parent or caregiver.
- change in color, tone or breathing of infant noticed by caregiver
3
Q
ALTE answer is typically…
A
in the history confirmed by physical exam
4
Q
50% of time ALTE…
A
nothing was found just concerned parent
5
Q
ALTE ddx
A
MC:
- GERD
- lower airway infxn
- seizure (eye mvmt, limbs jerking)
next:
- sepsis (fevers?)
- cardiac (FTT, murmur)
- abuse (multiple injuries)
6
Q
BRUE next model
A
brief resolved unexplained event
- must be under 1 yr
- less than 1 min episode
- change color, tone, breathing, responsiveness
if you have this divide brue into low and high risk groups
7
Q
low risk BRUE def
A
- things that do not have a history or physical that have signs of anything big:
- no CPR required
- first time, not recurring
- no fever
- no s/s abuse
- no seizure like activity
- term baby over 60 day low risk
- preterm baby gestational age over 32 weeks and post conception age greater than 45
8
Q
low risk BRUE tx
A
reassure do not due anything
9
Q
high risk brue tx
A
monitor, investigate find source
10
Q
SIDS definition
A
- child who dies for no known cause
- dx made after child passes
11
Q
SIDS prevention
A
- back to sleep!
- flatten head
- rotate head position - dont share bed
- smother risk - smoking cessation
- higher risk allergies, URI, infxn - kids preemie and congenital problems higher risk
12
Q
SIDS what you do not do
A
no EKG, apnea, or try to predict who will get SIDS
13
Q
ALTE BRUE related to getting SIDS?
A
no seperate things
