ASTHMA
1. Underlying conditions or comorbidities that may be exacerbate the patient's asthma
o Rhinitis
o Sinusitis
o Gastroesophageal reflux disease
o Obstructive sleep apnea
o Hormonal disorders and psychopathologies
2. Lifestyle changes that can help manage asthma
o Sleep
o Exercise
o Reduce stress
o Good nutrition
o Environmental factors– avoiding asthma triggers such as pollens, dust, allergens.
3. Reoccurrence of asthma on adult/ causes.
o The reoccurrence is called RELAPSE
o One common reason or factor for adult asthma is constant exposure to an allergens
which can trigger asthma symptoms.
4. Connection of asthma on allergies
o Allergies can trigger asthma.
o When allergies combine with a breathing condition called asthma, it's called
allergic asthma.
o ALLERGIC ASTHMA: a very common form of asthma, occurring when allergens,
such as pollen, are inhaled.
5. Importance of allergic testing
o Allergy tests are a way to get to the bottom of what's causing your asthma
symptoms. They help your doctor find out if allergies trigger your asthma or not.
6. Management of status asthmaticus
o The mainstay of medical therapy is frequent administration of beta-agonist
inhalations, combined with early corticosteroid use, supplemental oxygen and IV
fluids to hydrate patient.
7. Hallmark pathological features of asthma
o airway hyperresponsiveness (AHR) and airway inflammation
8. Kailan ka magdadagdag ng corticosteroids sa asthma.
o It is critical that corticosteroid be given to treat the inflammation that occurs during
an acute asthma exacerbation.
o Intravenous corticosteroid is effective in preventing an increase in severity of
symptoms and may avoid hospitalization and relapse.
o Oral delivery of corticosteroids in emergency setting is as good as intravenous
route.
9. S/S of childhood asthma
o chest tightness or pain ('sore tummy')
o shortness of breath
o difficulty breathing
o wheezing – whistling noise when breathing, coughing (particularly at night)
10. Risk factors of asthma
o Exposure to tobacco smoke, including before birth.
o Previous allergic reactions
- skin reactions
- food allergies or hay fever (allergic rhinitis)
o A family history of asthma or allergies.
11. Is asthma Hypoxemic respiratory failure or hypercapnic respiratory failure?
o Type II (hypercapnic) respiratory failure is a hallmark of severe asthma.
o The narrowing of airways causes ventilation perfusion imbalance, lung
hyperinflation, and increased work of breathing that may lead to ventilatory muscle
fatigue–which lead to ventilatory pump failure.
12. Basis for asthma reversibility
o Reversibility of airflow obstruction in asthma is a significant postbronchodilator
FEV1 and/or FVC response of 200 mL or greater and 12% improvement from
baseline
13. How can healthcare provider ensure that the patient is receiving optimal care for the
patient’s asthma?
o Health care provider may recommend keeping a daily asthma diary when symptoms
are not well controlled and times you take your medication.
14. How long does it take for an inhaler to work?
o 5 hours
15. Is there dietary plan for asthma?
o There's no asthma diet that will eliminate your symptoms.
But these steps may help:
- Eat to maintain a healthy weight (Being overweight can worsen asthma)
- A diet rich in fruits and vegetables and low in processed, fatty, and fried foods
can help a person manage their asthma symptoms.
16. Paano yung interpretation ng results ng methacholine challenge test?
o A methacholine challenge test is considered positive if methacholine causes the
lung function (FEV1) to drop by 20% or more compared to your baseline. A
negative test means a diagnosis of asthma is unlikely
17. Safe ba ang methacholine challenge test? hindi ba siya nagcacause ng symptoms din?
o Although the test is very safe, it can cause bronchoconstriction, or tightening of the
airways. Rarely, you may experience symptoms of an asthma attack, such as chest
tightness, coughing, wheezing or shortness of breath. The test may make you feel
dizzy or uncomfortable, but the pulmonary function technologist performing the
challenge will watch you closely. If the test results show that there is constriction
of your airways, you will be given a bronchodilator to relieve your symptoms.
18. Role of genetic and environmental factors on the development of asthma
o In studies that has been conducted, the influence of genes have found that asthma
is more likely to occur in people who have a genetically close relative with the
condition. Environmental triggers can cause or exacerbate asthma
19. Innovative treatments for asthma currently in development.
o Omalizumab treats severe asthma that's triggered by allergies. Mepolizumab,
reslizumab, and benralizumab treat severe asthma caused by a type of white blood
cell called an eosinophil (eosinophilic asthma). You take these drugs by injection
or an IV inserted into a vein.
20. Relationship between asthma and allergies, and contribution of allergies to the
development and progression of asthma?
o Allergies and asthma often occur together.
o The same substances that trigger your hay fever (allergic rhinitis) symptoms, such
as pollen, dust mites and pet dander, may also cause asthma signs and symptoms.
o In some people, skin or food allergies can cause asthma symptoms
21. Main distinguishing feature of asthma that differentiates it from COPD
o One main difference is that asthma typically causes attacks of wheezing and
tightness in your chest. COPD symptoms are usually more constant and can include
a cough that brings up phlegm.
22. Reason why developed countries have more cases of asthma
o This is due to increased urbanization/westernized lifestyle, high rates of obesity and
pollution. Aside from that there is also an increasing cases of asthma due to low
bith weight of infants, children with young mothers and mothers who smoke.
23. Why does coughing occurs mostly at night? It was stated by your reporter.
o Lung function naturally declines during night. As muscles relax while sleeping, the
upper airway narrows, increasing resistance in the lungs. This increases your
chances of having breathing problems and coughing episodes during the night.
o Nocturnal asthma is a kind of asthma that worsens at night. Environmental
allergens, stress, hormonal variables, obesity, sinusitis, and other reasons all
contribute to asthma worsening during night. Wheezing, chest tightness, trouble
breathing, and coughing are common symptoms of nocturnal asthma.
24. How can parents or primary caregivers effectively monitor and manage their child's
symptoms to ensure optimal control of their asthma and prevent exacerbations?
o Identification, avoidance, and control of variables that aggravate asthma symptoms
are as important as medication use in asthma management.
o Regular monitoring and assessment of asthma severity has been shown to benefit
in disease control.
o Managing a chronic illness like asthma necessitates patient and family
participation in formulating a treatment plan and comprehending the illness.
o A thorough asthma education program should be made available to patients
suffering from asthma.
o Asthma is accompanied by a well-trained health care system. providers who
specialize in overcoming learning obstacles and put the parents' and child's
comprehension to the test; involves the child's community; and uses age-specific
teaching methods:
o Self-monitoring to assess level of asthma control and signs of worsening asthma
o Using an asthma action plan
o Taking medication correctly (proper inhaler technique and use of devices)
o Avoiding environmental factors that worsen asthma
o Most asthmatic children have an allergic component to their condition, or asthma
triggers. If asthma is to be controlled, allergies and irritants that must be adequately
managed Symptoms that worsen must be addressed and controlled. The most
prevalent allergens linked to chronic asthma
a. Box 27-4 is a list of asthma environmental control measures
25. Most common triggers and symptoms of asthma in children?
o There are several key indoor environmental triggers. Once an irritating
agent has been discovered, it must be eliminated. If the child is sensitive to
warm-blooded animals, the suggested interventions include removing the
pet from the home.
o Tobacco smoke is closely linked with increased asthma prevalence and
morbidity, and therefore it is important that the patient and others who live
in the household refrain from smoking.
o Cockroach exposure is another concern that affects patients who live in the
inner city.
o Molds are another common trigger in the home. Once identified, it is
essential that the mold be cleaned out and the area dried.
o House-dust mites are another trigger. To manage this problem, it is
recommended that mattresses and pillows be encased in allergenimpermeable covers.
o Symptoms includes: audible wheeze, dyspnea , prolonged expiration,
cough, increase nasal secretions, hyperexpansion of thorax , retraction, use
of accessory muscles, tachypnea
26. Potential long-term effects of childhood asthma, and how can these be minimized
through appropriate management and treatment strategies?
o Potential long term effects can be Bronchoconstriction which reduce exercise
tolerance. Over time, a lack of activity can lead to increased rates of obesity,
diabetes, high blood pressure, and other illnesses associated with a sedentary
lifestyle.Lung function declines as well as Missed school .
o For prevention, refer to the box below
o Emergency department must determine severity of asthma exacerbation and
perform physical examination.On admission, a physical examination is performed
along with measurement of oxygenation and air flow.
o A pulse oximeter is used to measure oxygen saturation. Continuous monitoring of
oxygen with a pulse oximeter is crucial to prevent desaturation.A peak flow meter
or spirometer can provide assessment of the severity of airway obstruction from
inflammation and bronchospasm.
o One of the first lines of therapy is with b2-agonist. corticosteroids be given to treat
the inflammation that occurs during an acute exacerbation. Early treatment, which
may include the use of intravenous corticosteroids, is effective in preventing an
increase in the severity of symptoms and may avoid hospitalization and relapses.
27. What are the warning signs of an impending asthma attack?
o Frequent cough, especially at night
o Reduced peak flow meter readings
o Dyspnea
o Wheezing or coughing during exercise
o Cyanotic
o Atopic dermatitis
28. How can one differentiate between asthma and other respiratory conditions with
similar symptoms?
o One main difference is that asthma typically causes attacks of wheezing and
tightness in your chest. COPD symptoms are usually more constant and can include
a cough that brings up phlegm
o The table below contains respiratory conditions that mimic asthma
29. Specific asthma management plans or action plans that should be followed
o Patients with asthma should be provided with an approved management
plan, or asthma action plan, with detailed instructions on when to begin
quick-relief medications, when to increase daily medications, and when to
contact a doctor or seek emergency care. The plan also includes specific
medications to be given, the route of administration, the dose to be
administered, and the frequency of dosing. It is important to have the
physician's name and phone number on the plan along with the phone
number of a close relative or neighbor.
o Keeping a diary or chart of the readings is, for many patients, an important
part of their treatment plan. Graphs for plotting peak flows are often
included with the peak flow meter and can be photocopied for additional
use. There are also smartphone apps that can help parents and children track
their progress. With daily peak flow monitoring, a patient may see a drop in
the peak flow before severe symptoms are felt and may begin early
treatment or seek medical help. This may prevent asthma exacerbations
from occurring or lessen the seriousness of an episode by medicating at the
first sign of low peak flow readings. The physician reviews the peak flow
diary at each office visit.
30. Can asthma be hereditary?If so,what are the chances of passing it on to children?
o If one parent has asthma, their child has a 25% risk of developing it as well.
If both of your parents have it, your risk increases to 50%. Twin studies
have indicated that persons who have a genetically close cousin with asthma
are more likely to get the ailment.
31. Warning signs of an impending asthma attack. How often should asthma patients
have check-ups with their healthcare provider?
o Frequent cough, especially at night, Reduced peak flow meter readings,
dyspnea, wheezing or coughing during exercise, cyanotic , atopic
dermatitis
o It is recommended that children who require long-term control medication
for asthma and are capable of performing the tests have pulmonary function
tests performed at least annually.
o The National Asthma Education and Prevention Program's expert panel
recommends visits to a clinician about every six months for patients whose
asthma is under control and more often for patients whose asthma is
uncontrolled or has severe persistent asthma
32. What is more common, Intrinsic or Extrinsic asthma? Can one have both at the same
time? If so, How often does it happen?
o Prevalence. Extrinsic or allergic asthma is the most common form of the
disease. About 60-90% of people with asthma have allergic asthma.
Intrinsic or nonallergic asthma is less common, occurring in anywhere from
10% to 40% of people with asthma
o You can have intrinsic asthma or extrinsic asthma. While both types of
asthma share the same symptoms, their triggers can be very different.
Triggers are things that can cause an asthma attack.
SUDDEN INFANT DEATH SYNDROME
1. What is the common risk factor of SIDS?
o Although sudden infant death syndrome can strike any infant, researchers have identified
several factors that might increase a baby's risk. They include:
-
Sex. Boys are slightly more likely to die of SIDS.
-
Age. Infants are most vulnerable between the second and fourth months of life.
Race. For reasons that aren't well-understood, nonwhite infants are more likely to
develop SIDS.
Family history. Babies who've had siblings or cousins die of SIDS are at higher risk of
SIDS.
Secondhand smoke. Babies who live with smokers have a higher risk of SIDS.
Being premature. Both being born early and having a low birth weight increase your
baby's chances of SIDS.
Maternal risk factors
During pregnancy, the mother also affects her baby's risk of SIDS, especially if she:
-
Is younger than 20
Smokes cigarettes
Uses drugs or alcohol
Has inadequate prenatal care
2. Who are mostly at risk of acquiring SIDS?
o Infants between the ages of 1 and 6 months, with the peak time occurring between 2
and 3 months of age. There is some evidence that SIDS can occur in infants as young
as one year old, with boys being more likely to be affected.
3. What pathophysiological findings can you see in a patient who died with SIDS during
autopsy?
o At autopsy, infants who die of SIDS demonstrate multiple external and internal findings
insufficient to explain the cause of death. External findings may include frothy, bloodtinged fluid at the nares in an otherwise well-developed infant. Internal observations
include subacute inflammation of the upper respiratory tract, pulmonary
congestion/edema, intrathoracic petechiae, and persistent hepatic hematopoiesis.
4. How does SIDS differ from apnea of prematurity?
o Apnea of prematurity is a medical condition that happens when the respiratory neurons in
the brainstem aren't fully organized or linked to each other, and they don't respond well to a
variety of afferent stimuli. SIDS is when a baby younger than 1 year old dies suddenly and
for no clear reason. A diagnosis of SIDS is made if the baby's death can't be explained after
a study of the death scene, an autopsy, and a look at the baby's medical history. SIDS can't
be found, but AOP can.
5. What is the role of genetics in SIDS?
o SIDS is not hereditary but a baby's susceptibility is due to a genetic disposition. So,
genetics doesn't play its role by itself; it works together with environmental factors and
stressors at a crucial time in an infant's growth.
o Understanding SIDS genetics helps reduce deaths by addressing modifiable risk factors in
vulnerable newborns. Genetics can directly cause medium-chain acyl-coenzyme A
dehydrogenase deficiency and cardiac collapse from long QT syndrome, or indirectly by
predisposing to SIDS.
o SIDS genes are polygenic and interact with environmental risk factors including male
gender, prone sleeping posture, negligence of parents, cold, seasonal fluctuations, night,
botulism, etc. Immune, cardio-respiratory, and neurophysiology genes have been linked to
SIDS.
6. How can breastfeeding protect babies from SIDS?
o It has been demonstrated that breastfeeding reduces the risk of sudden infant death
syndrome (SIDS) by more than fifty percent. This is accomplished through boosting the
immune system, encouraging brain growth, lowering the risk of reflux, and a number of
other variables.
7. Is it ok if the baby sleeps on his or her side and why?
o
No, babies who sleep on their sides have a significantly higher chance of developing sudden
infant death syndrome (SIDS). Because of this, it is recommended that infants sleep
completely on their backs during naps and at night in order to lower the risk of sudden
infant death syndrome (SIDS).
8. How is side sleeping a risk factor to SIDS?
o Because when placed on their sides, infants may turn to their stomachs.
9. Why soft surfaces such as waterbeds and sofas not recommended to be used?
o Because it increases the risk of suffocation and entrapment. In addition, if an infant lays on
soft bedding or soft surfaces, that surface may indent or conform to the shape of the baby's
head and increase the likelihood that the infant will breathe in his/her own exhaled breath.
10. What’s the relationship between infant sleeping in the same room as their parents but in
their own crib?
o Infants should sleep in the parents' room, close to the parents' bed but on a separate surface
meant for infants, for at least the first 6 months. Sleeping in the parents' room but on a
separate surface has been shown to reduce the risk of SIDS by up to 50%.
11. How can healthcare providers work with parents to raise awareness of SIDS and promote
risk reduction?
o Healthcare providers like us RTs can give health education to parents in regards to Sudden
Infant Death Syndrome by raising awareness, though it is rare here in our country, that
SIDS exists and by presenting to them the risk factors and the things to be done to avoid the
incidence of SIDS.
12. Do you agree that preterm babies have an increased risk of SIDS?
o Yes, preterm babies do have an increased risk of Sudden Infant Death Syndrome (SIDS),
because their lungs and other vital organs are underdeveloped at the term of birth, which can
make them vulnerable to breathing problems and other difficulties. It's important to take all
necessary precautions to reduce the risk of SIDS and if you have any worries about your
baby's risk of SIDS, it's always important to consult with your healthcare provider.
13. What stage of sleep does SIDS occur?
o SIDS can occur during any stage of sleep, but it is more probably to occur during the
deepest stage of sleep, which is called quiet or non-REM sleep. During this stage, babies
tend to have very small movements, and their breathing and heart rate are slower and more
regular than during other stages of sleep.
14. Why is SIDS risk higher at 2 months?
o The risk of Sudden Infant Death Syndrome (SIDS) is higher at 2 months of age because this
is around the time when infants tend to have the highest incidence of SIDS. Also, at this
age, infants are in a growth period where they are becoming better able to regulate their
body temperature and breathing, yet they may not be able to fully develop these abilities.
Moreover, at around 2-3 months, infants tend to have a higher rate of impulsive growth and
development, which may also contribute to the increased risk of SIDS.
15. Does maternal care(pregnancy) affects the baby’s risk for SIDS?
o Yes, maternal care during pregnancy can have an impact on a baby's risk for Sudden Infant
Death Syndrome (SIDS). Several factors during pregnancy can take advantage of SIDS risk,
including smoking, drinking alcohol or using drugs, and having a historyof premature birth
or low birth weight. Expectant mothers need to obtain proper prenatal care and obey their
healthcare provider's suggestions to reduce the risk of SIDS.
16. Why is there a higher risk for SIDS to occur again in those families who have a history
of SIDS?
o
Based on my research, there is no answer to this question, as the causes of SIDS are still not
fully apprehended. However, some studies have shown that there may be specific risk
factors that increase the likelihood of SIDS, including genetic factors. Studies have found
that infants who have siblings or close relatives who have died from SIDS are at a higher
risk of SIDS themselves.
17. Does genetic factor play a role in SIDS? If yes, how so?
o Yes, genetics is thought to play a role in SIDS. Researchers have determined several gene
variants that may increase a baby's risk of SIDS. These genetic factors are thought to affect
the way a baby's body reacts to stress, such as changes in breathing or heart rate during
sleep. Moreover, genetic factors may interact with different risk factors, such as sleeping on
the stomach and exposure to tobacco smoke, to increase the likelihood of SIDS. However,
it's important to note that SIDS is a difficult condition and many factors likely contribute to
its development.
18. You indicated that there’s a particular age range for infants who die from SIDS, why does
SIDS occur more frequently in this age group?
o Syndrome (SIDS) occurs more frequently in infants between 1 and 4 months of age.
Nonetheless, the exact explanation of why this occurs is not yet totally understood. Some
studies assume that it may be due to a combination of factors, such as brain anomalies,
genetic predisposition, and external factors like sleeping position, exposure to secondhand
smoke, and overheating. It is vital to note that there is no single cause of SIDS, and it affects
each infant differently.
19. Is it necessary to put the baby back in a supine position if the baby rolls into his stomach
during sleep
o Yes, it is advised to always place infants on their backs to sleep to reduce the risk of sudden
infant death syndrome (SIDS). Yet, if your baby rolls over during sleep, you don't
necessarily have to roll them back onto their back. Once babies discover how to roll over,
they can usually roll themselves back to their desired sleep position. However, it's still
important to keep the baby's sleep area free of any soft objects or loose bedding, as these
can cause a suffocation risk.
20. May seasonal variations ba sa incidence ng SIDS. If so, anong season?
o Seasonal variations in the incidence of SIDS have been observed. In some studies, a higher
incidence of SIDS has been reported during the winter months. While the exact reasons for
this seasonal variation are not fully understood, it is believed that factors such as changes in
temperature, viral infections, and indoor air quality during winter may contribute to the
increased risk. However, further research is needed to fully understand the relationship
between seasonality and SIDS incidence.
21. What are some steps that parents and caregivers can take to reduce the risk of SIDS in
infants?
o To reduce the risk of SIDS in infants, parents and caregivers can take the following steps:
- Always place the baby on their back to sleep, for both naps and nighttime sleep.
- Use a firm mattress and avoid placing soft bedding, pillows, stuffed animals, or
loose
- blankets in the crib.
- Keep the baby's sleep area free from hazards such as cords, cords from window
- blinds, and other items that could cause suffocation or strangulation.
- Avoid overheating the baby's sleep environment by keeping the room at a
- comfortable temperature.
- Consider using a pacifier at naptime and bedtime, but do not force it if the baby
- refuses.
- Breastfeed your baby, if possible, as breastfeeding has been associated with a
reduced risk of SIDS.
-
Create a smoke-free environment for the baby, both during pregnancy and after
birth. Avoid exposing the baby to secondhand smoke.
Offer supervised tummy time when the baby is awake and alert to promote healthy
development.
Ensure that the baby's immunizations are up to date, as they may offer some
protection against SIDS.
Stay informed about safe sleep practices an
22. Sa triple risk model, necessary ba na yung three factors para mag occur ang SIDS? If any
one of these factors is absent, can the risk of SIDS be reduced?
o Yes, according to the Triple Risk Model, a vulnerable infant during a critical period of
development who is exposed to an external stressor with which he or she cannot manage
may die of SIDS. Consequently, if one factor is absent, the risk of SIDS can be reduced
because it demonstrates that sudden infant mortality only occurs when three conditions are
simultaneously present. However, it cannot guarantee that the infant will not die due to the
sudden nature of the infant's death.
23. What are the current recommendations for SIDS screening and diagnosis?
o The current recommendations for SIDS (Sudden Infant Death Syndrome) screening and
diagnosis involve preventive measures and understanding the factors associated with SIDS.
Healthcare providers advise parents to follow safe sleep practices, such as placing infants on
their back to sleep, using a firm and flat sleep surface, and avoiding soft bedding or objects
in the crib. There is no specific test to diagnose SIDS, as it is a diagnosis of exclusion,
meaning other causes of death must be ruled out. Autopsy and thorough examination of the
circumstances surrounding the infant's death are conducted to make the diagnosis.
24. How can healthcare providers effectively communicate with parents and families about
SIDS to provide education and support while also addressing their concerns and anxieties?
o Healthcare providers play a crucial role in effectively communicating with parents and
families about SIDS. They need to provide education and support while addressing their
concerns and anxieties. To do this, providers should use clear and simple language, offering
evidence-based information about SIDS risk factors and safe sleep practices. It is important
to encourage open dialogue, actively listen to parents' questions and concerns, and provide
reassurance and empathy. Offering resources, such as brochures or online materials, can
also help parents further understand SIDS and its prevention.
25. At what age is an infant most at risk for SIDS?
o Infants are most at risk for SIDS between one and four months of age. However, it is
important to note that SIDS can occur during the first year of life, and cases have been
reported up to 12 months of age. This is why practicing safe sleep habits and following
preventive measures throughout the infant's first year is crucial.
26. Discuss the type of evidence to justify the significant relationship of prone positioning to
SIDS.
o The significant relationship between prone positioning (placing infants on their stomach to
sleep) and SIDS has been supported by various types of evidence. Observational studies
have shown that infants placed in the prone position have a higher risk of SIDS compared to
those placed on their back. Additionally, studies examining the physiological effects of
prone sleeping have shown alterations in respiratory and arousal responses, which may
contribute to the increased risk of SIDS. These findings, along with the consistent
association between prone positioning and SIDS in multiple studies, provide evidence
supporting the link.
27. Why is there no physical manifestation observed in patients with SIDS by the time they are
found in the crib?
o SIDS is often referred to as a "silent" or "unexplained" death because there are no specific
physical manifestations observed in patients when they are found in the crib. Unlike other
medical conditions where visible signs or symptoms are present, SIDS is a diagnosis made
after ruling out other potential causes of death. It is characterized by the sudden and
unexpected death of an apparently healthy infant, usually during sleep, without any obvious
signs of distress or physical trauma.
28. Can u revive an infant from SIDS?
o When you're on time to notice them, it is possible to revive them.
29. What is sudden infant death syndrome most commonly associated with?
o Although the exact cause of SIDS is unknown, many medical professionals and researchers
believe that it is related to issues with the baby's ability to wake up from sleep, to detect low
oxygen levels, or to detect an accumulation of carbon dioxide in the blood.
30. What are the two biggest risk factors associated with sudden infant death syndrome?
o Babies who usually sleep on their backs but who are then placed to sleep on their stomachs
o Baby who sleeps with parents, other kids, or pets in an adult bed; this is particularly risky if
the adult smokes, has recently had alcohol, or is exhausted
31. What should parents do to reduce the risk of SIDS?
o By quitting from smoking throughout pregnancy and after delivery, as well as by always
putting the baby to sleep on their back, parents can reduce their risk of SIDS.
32. What is the best position for a baby to sleep with a cold?
o Upright position is the best position for a baby to sleep with a cold. It allows stuffy noses
and nasal congestion to clear so that breathing becomes easier which promotes restful sleep
33. Why does having baby in room reduce SIDS?
o Babies are kept safer when they sleep in the same room as their parents because background
noises or wakings hinder them from falling asleep deeply. Breastfeeding is also made easier
by room sharing, which prevents SIDS.
34. How can a parent reduce baby's risk for SIDS aside from sleep positioning?
o Get early and regular prenatal care. Place your baby on a firm, flat mattress to sleep, never
on a pillow, waterbed, sheepskin, couch, chair, or other soft surface.
35. Are there warning signs of SIDS?
o There are no symptoms or warning indications of SIDS. Babies that die from SIDS appear
healthy before being placed to sleep. They exhibit no indications of struggle and are
frequently discovered in the identical position in which they were placed in the bed.
36. Can SIDS be prevented?
o There's no guaranteed way to prevent SIDS, but you can help your baby sleep more safely
by following the steps below:
- Place your baby to sleep on his or her back, rather than on the stomach or side, every
- time you
- Room sharing is ok but you must put the baby in a crib- make it bare as possible
- Make sure the room is well ventilated
37. How should babies sleep to avoid SIDS?
o Safe Sleeping environment is very important
o Make the baby sleep on their back.
o Make sure the baby is comfortable and well ventilated.
38. Is SIDS just suffocation? Why?
o No, SIDS, an unexplained infant death resulting from an unknown medical abnormality or
vulnerability is usually classified a natural death.
39. Do high temperatures have correlation to SIDS?
o
A well-ventilated bedroom and the use of a fan may minimize the incidence of SIDS.
Thermal stress may harm a newborn by affecting the baby's respiratory drive, the laryngeal
closure reflex, and the arousal mechanisms. A higher risk of heat-related SIDS in infants
aged 3-11 months than in infants aged 0-2 months.