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N3 GERO > Exam 2 - Chapter 17 > Flashcards

Exam 2 - Chapter 17 Flashcards

1
Q

which sleep stage is the most important for brain replenishment?

A

REM

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2
Q

what is the consequence of spending less time in stage 3 & 4 during sleep?

A

feeling tired despite sleeping the desired number of hours

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3
Q

what is the barometer of health?

A

sleep

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4
Q

what are the stages of sleep?

A
  • NREM
  • Stage 1
  • Stage 2
  • Stages 3 / 4
  • REM
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5
Q

what is NREM composed of?

A

stages 1-4

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6
Q

Stage 1 of sleep

A
  • moments of being awake and falling asleep
  • light sleep
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7
Q

Stage 2 of sleep

A
  • RR & HR become regular
  • body temperature drops
  • onset of sleep
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8
Q

Stage 3 / 4 of sleep

A
  • deepest & most restorative sleep
  • BP drops
  • growth & repair of the body
  • breathing becomes slower
  • blood supply to muscles increase
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9
Q

REM

A
  • dreams occur
  • occurs every 90 minutes
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10
Q

older adults spend a lot of time staying awake in stage 1

A

true

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11
Q

what are the age-related sleep changes in older adults?

A
  • frequent awakenings
  • more time spent in bed awake
  • daytime napping
  • light sleep
  • frequent abnormal breathing events
  • frequent leg movements
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12
Q

common sleep disorders

A
  • insomnia
  • sleep apnea
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13
Q

what are causes of obstructive sleep apnea?

A
  • decreased tone of upper airway muscles
  • airway obstruction with tongue
  • laying on back while sleeping
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14
Q

what are the risk factors for obstructive sleep apnea?

A
  • increasing age
  • male gender
  • excess weight
  • smoking
  • hypertension
  • upper airway resistance
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15
Q

what are some preferred sleep medications?

A
  • zolpidem
  • ramelteon
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16
Q

why should diphenhydramine be avoided as an OTC sleep medication?

A

it has antihistaminic & anticholinergic effects

17
Q

what are the s/s of sleep apnea?

A
  • excessive daytime sleepiness
  • snoring
  • HA
  • irritability
18
Q

components of good sleep hygiene

A
  • maximize comfort
  • bedroom associated only for sleep & sex
  • avoid naps
  • exercise in the day & outside
  • bedtime routine
  • limit CNS stimulants in the evening
  • manage GERD
  • avoid screen time before sleep
  • avoid tossing & turning; move to another room
19
Q

what are the interventions for obstructive sleep apnea?

A
  • weight loss
  • limit EtOH & sedatives
  • smoking cessation
  • CPAP

N3 GERO (19 decks)

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