Insomnia, Drowsiness, & Fatigue Flashcards

1
Q

Self-limited

Transient Insomnia
Short Term Insomnia
Chronic-Long Term Insomnia
Primary Insomnia
Secondary Insomnia
A

Transient Insomnia

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2
Q

Lasts < 1 wk

Transient Insomnia
Short Term Insomnia
Chronic-Long Term Insomnia
Primary Insomnia
Secondary Insomnia
A

Transient Insomnia

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3
Q

Last to 3 weeks

Transient Insomnia
Short Term Insomnia
Chronic-Long Term Insomnia
Primary Insomnia
Secondary Insomnia
A

Short Term Insomnia

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4
Q

Lasts > 3 weeks

Transient Insomnia
Short Term Insomnia
Chronic-Long Term Insomnia
Primary Insomnia
Secondary Insomnia
A

Chronic-Long Term Insomnia

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5
Q

From illness, psych, or substance abuse

Transient Insomnia
Short Term Insomnia
Chronic-Long Term Insomnia
Primary Insomnia
Secondary Insomnia
A

Chronic-Long Term Insomnia or Secondary Insomnia

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6
Q

At least 1 month

Transient Insomnia
Short Term Insomnia
Chronic-Long Term Insomnia
Primary Insomnia
Secondary Insomnia
A

Primary Insomnia

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7
Q

Rules out secondary causes

Transient Insomnia
Short Term Insomnia
Chronic-Long Term Insomnia
Primary Insomnia
Secondary Insomnia
A

Primary Insomnia

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8
Q

Classified by duration

Transient Insomnia
Short Term Insomnia
Chronic-Long Term Insomnia
Primary Insomnia
Secondary Insomnia
A

Transient, Short term, long term

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9
Q

Classified by identifiable cause

A

Primary + secondary

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10
Q

Avoid caffeine, alcohol or nicotine __ to __ hrs before bedtime

A

4 to 6

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11
Q

What OTC is approved for the management of transient and short term insomnia?

A

Diphenhydramine

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12
Q

Diphenhydramine is used for…?

Transient Insomnia
Short Term Insomnia
Chronic-Long Term Insomnia
Primary Insomnia
Secondary Insomnia
A

Transient + short term insomnia

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13
Q

What is the best recommendation for insomnia?

A

Diphenhydramine 50mg for 7-10 days

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14
Q

What are some complementary options for insomnia?

A

Melatonin, 5-HTP, valerian, kava

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15
Q

Exclusion of insomnia

Age?

A

<12 yrs and >64yrs old

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16
Q

What are the treatments for drowsiness/fatigue?

A

Sleep hygiene + caffeine

17
Q

What are some complementary options for drowsiness/fatigue?

A

Ginseng, Cola nut, Guarana, Yerba mate

18
Q

MOA of caffeine?

A

Nonselective adenosine antagonist at A1/A2 receptors

19
Q

A1
A2

Which blockade causes arousal, vigilance, and attention?

A

A1

20
Q

A1
A2

Which blockade causes increase in motor activity?

A

A2

21
Q

What is the caffeine limit in pregnant women?

A

200mg

22
Q

Doxylamine vs Diphenhydramine

Which should you recommend for sleep and why?

A

Diphenhydramine

FDA has not fully established the other as safe and effective, not enough studies