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Flashcards in Sleep disturbances in children Deck (8)
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1
Q

Normal sleeping trends in infants -adolescence

A

<6months
-REM onset
-sleeps 16-18 hours: wakes up every 3/4 hours
-apneic breathing
6 months
-14-15 hours sleep: 2 long sleeps at night and 1/2 nap
2 years:
-12 hours sleep at night
-1 nap
Preadolescence: very good sleeping pattern
Adolescence: sleep disturbances- need more sleep/get less

2
Q

Investigations for sleep patterns in children

A
  • polysomnography
  • 02/co2 saturation levels
  • cot monitors
  • observational study
  • time-lapse videos
3
Q

Signs of abnormal behaviour?

A
  • past the ages of 3-5 years awakenings during the night and enuresis
  • inability to awaken unmedicated patients
  • in infants: 8 hours sleep during the night with no naps during the day
4
Q

Normal behaviour which is thought to be abnormal?

A
  • night terrors
  • hypnic awakening
  • sleep walking in toddlers
  • REM patterns
5
Q

causes of sleepiness

A
  • medication
  • behavioural problems
  • neurological disorders
6
Q

Cause of XS sleepiness

A
  • Narcolepsy
  • OSAS
  • insufficient sleep
7
Q

Disorders which lead to abnormal sleep patterns

A
  • Asthma
  • Down syndrome : OSAS
  • Cystic Fibrosis: less REM and more awakenings due to reduced FEV1 and so sats reduced
  • Praeder-Willi syndrome:XS daytime sleeping
  • Cerebral palsy : disrupted sleeping
  • Chronic neonatal lung disorder: hypoxemia in REM sleep
8
Q

Primary snoring

A
  • can lead to OSAS
  • Symptoms include: hypercapnia,hyperventilation, hypoxia, daytime syndromes
  • treatment: adenotonsillectomy