Ex2 Sleep related breathing disorders Flashcards
decreased sleep
insomnia
increased sleep
hypersomnia
abnormal sleep behavior
parasomnia
hallmark of OSA
sleep-induced and arousal-relieved upper airway obstruction
most reliable stimulator of respiratory related arousal in OSA
work of breathing
latency
time it takes to fall asleep
*aging increases latency
stage of sleep associated with increased/irregular HR, BP, CO
REM sleep (phasic) *risk of nocturnal angina/MI
sleep studies utilize
EEG
10% increase in weight leads to ____ risk of OSA
6x increase
bruxism
teeth grinding
STOP-BANG
Snoring Tired Observed apnea P- HTN B-BMI >35 Age>50 Neck circ. > 40cm Gender: M
High risk for OSA if
STOP-BANG > or = 3
Diagnosed with OSA if
STOP-BANG > = 5
PCA in OSA?
No basal rate
airway emergencies occur
24-48h post op
Post-op requirements?
PACU - 3 hours minimum
Post-PACU: pulse ox + monitoring (esp if + narcotics)
central sleep apnea
not associated with obstruction