Sudden Infant Death Syndrome

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Sudden Infant Death Syndrome




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Presentations text content in Sudden Infant Death Syndrome

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Sudden Infant Death SyndromeConcept: Oxygenation

By:

Cathy B. Herbert, RN, MSN

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ObjectivesBy the end of this module students should be able to:

1. Describe the clinical manifestations and risk factors associated with infants whose death was diagnosed as due to Sudden Infant Death Syndrome (SIDS)

2. Develop a teaching plan for caretakers to prevent the death of infants due to Sudden Infant Death Syndrome.

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Definition

Def.: Sudden Infant Death Syndrome (SIDS) is the unexplained death (after other possible causes have been

ruled

out), usually during sleep, of a seemingly healthy infant. Sometimes referred to as crib death because the infants often are found dead in their cribs.

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CAUSESCauses: 1)Brain stem abnormalities that control respiratory and autonomic stressors during sleep so that arousal from sleep does not work properly; 2) respiratory infection; 3) prone or side-sleeping and bed sharing; 4) critical developmental period within first 6mos. of life; 5) covert homicide

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Risk Factors/ Infant

Gestation: Premature/low birth weight babies or being part of multiple birth increase risk for developing SIDS

Sex: male infants are more likely to die of SIDS

Age: infants are most vulnerable during the second and third months of life

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Risk Factors/Infant (cont)

Race: for reasons not well understood, Black, American Indian and Eskimo infants are more likely to develop SIDS

Family history: infants who have had siblings or cousins die of SIDS are at higher risk of SIDS themselves

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Risk Factors / MaternalMother under the age of 20

Mother who smokes cigarettes

Drug or alcohol use

Inadequate prenatal care

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Clinical ManifestationsThere are no warning signs or early clinical manifestations to indicate a baby will die of SIDS

History of upper respiratory infection

First symptom is cardiopulmonary arrest

Clinical findings after death: evidence of a struggle or change of position; presence of frothy, blood-tinged secretions from mouth and nose; most deaths are unobserved

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PreventionPlace infants on their back to sleep-insist on it!

Select bedding carefully- firm mattress; avoid thick fluffy padding; Avoid overheating infant- use light blanket and do not cover infant’s head

Avoid overheating sleeping room

Infant should sleep alone

Offer a pacifier

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Prevention (cont.)Avoid exposing infant to infection

Breast feed if possible

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Nursing DiagnosesKnowledge deficit related to risk factors associated with SIDS

Enhanced parenting related to preventive measures associated with SIDS

Grieving

Compromised family coping

Risk for spiritual distress

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Coping and SupportSupport: Loss of a child is devastating.

Reassure parents they are not at fault

Sibling reaction

Referral to support groups: First Candle

http://ww.firstcandle.org

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Review Questions

1. Which child has increased risk of

sudden infant death syndrome

(SIDS)?

a. A neonate born at 32 weeks

weighing 4 lb

b. A 2 -year-old with a broken arm

c. A first-born child

d. An infant hospitalized with

a temperature of 103 degrees F

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2. Which position is recommended for placing an infant to sleep?

a. Supine position

b. Side-lying position

c. Prone position

d. With the head of the bed

elevated 30 degrees

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3. Which activity should be recommended for long-term support of parents with an infant who has died of sudden infant

death syndrome?

a. Attending support groups

b. Discussing feelings with family and

friends

c. Attending counseling sessions

d. Attending church regularly

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Answers

1. “A”

2. “A”

3. “A”


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