16. Sleep apnoea Flashcards
1
Q
What is sleep apnoea?
A
This disorder is characterised by intermittent closure/collpase of the pharyngeal airway causing apnoeic (not breathing) episodes during sleep
2
Q
What are the clinical features of sleep apnoea?
A
Loud snoring Daytime sleepiness Poor sleep quality Morning headache Decreased libido Nocturia Decreased cognitive performance
3
Q
What are the complications of sleep apnoea?
A
Pulmonary hypertension
Type II resp failure
Hypertension
4
Q
What investigations are done for sleep apnoea?
A
pulse oximetry
epworth sleepiness scale
Video analysis
polysomnography is diagnostic (ECG,EMG, abdo movements)
5
Q
What are the grades of sleep apnoea?
A
5-15- mild
15-30 moderate
30> severe
6
Q
How do you manage sleep apnoea?
A
Weight reduction Avoidance of tobacco and alcohol Mandibular advancement device CPAP (mod-severe disease) Surgery to relieve obstruction
7
Q
What are the clincial features of narcolepsy?
A
Falling asleep during the day Cataplexy excessive daytime sleepiness sleep paralysis hypnagogic hallucinations
8
Q
How do you manage narcolepsy?
A
Modafinil
Clomipramine (cataplexy)
Sodium oxybate
