GP Week 3 Flashcards
Exam Prep
Medical conditions that can be associated with anxiety.
- Hypoglycaemia
- Hyper/ hypothyroidism
- Cardiac disorders
- Chronic respiratory disease
- Withdrawal from benzodiazepines
SSRIs used in the GP setting for treatment of anxiety disorders.
- Escitalopram
- Fluoxetine
- Fluvoxamine
- Paroxetine
- Sertraline
Common broad causes of insomnia.
- Psycho-social, physical, and environmental stressors
- Medical conditions
- Psychiatric disorders
- Poor sleep hygiene/ practices
- Substance use
- Medications.
6 psycho-social, physical, and environmental stressors associated with insomnia.
- Grief and loss
- Changing time zones (jet lag)
- Light
- Noise
- Temperature
- Stress
5 poor sleep practices leading/ contributing to insomnia.
- Daytime napping
- Use of bed for other activities other than sex and sleep.
- Heavy meals.
- Exercise near bed time
- Variable sleep/ wake times.
4 types of substances that attribute to insomnia.
- Alcohol
- Caffeine
- Nicotine
- Recreational drugs
Cognitive and behavioural therapies for insomnia.
- CBT
- Stimulus control
- Sleep restriction
- Relaxation training
GP approach to gradual dose reduction of benzodiazepines for insomnia.
- Tailor reductions according to patients response.
- Allow at least several days to stabilise between dose reductions.
- If multiple drugs are being used, decrease the dose of one drug at a time, or switch to diazepam by summing dose equivalents.
4 common factor categories associated with fatigue.
- Physical
- Psychological
- Lifestyle
- Social
5 lifestyle factors that contribute to fatigue.
- Drug and alcohol abuse.
- Sleep deprivation.
- Overworked.
- Sedentary lifestyle.
- Inappropriate diet.
4 social factors that contribute to fatigue.
- Family and relationship problems
- Bereavement
- Occupational stress including bullying
- Unemployment.
4 psychological factors that contribute to fatigue.
- Anxiety
- Depression
- PTSD
- Sleep disorders
8 medical/physical factors that contribute to fatigue.
- Age/ gender
- Medications
- Endocrine/ metabolic disorders
- Cardiac conditions
- Malignancy
- Respiratory conditions
- Infections
- Anaemia
When to investigate/ types of patients to organise sleep studies in suspected OSA.
- Loud noisy snoring.
- Neurocognitive impairment from sleepiness
- CVD patients
- Patients with pharmacotherapies that reduce respiratory drive or motor tone
- Obese
- Unstable general medical condition
The clinical examination of a patient with possible OSA should include:
- Estimates of sleep duration
- Epworth Sleepiness Scale
- Nasal patency and sinus disease
- Mallampati score
- Neck circumference
- Blood pressure
- Medications review