Insomnia, Drowsiness, & Fatigue Flashcards
Self-limited
Transient Insomnia Short Term Insomnia Chronic-Long Term Insomnia Primary Insomnia Secondary Insomnia
Transient Insomnia
Lasts < 1 wk
Transient Insomnia Short Term Insomnia Chronic-Long Term Insomnia Primary Insomnia Secondary Insomnia
Transient Insomnia
Last to 3 weeks
Transient Insomnia Short Term Insomnia Chronic-Long Term Insomnia Primary Insomnia Secondary Insomnia
Short Term Insomnia
Lasts > 3 weeks
Transient Insomnia Short Term Insomnia Chronic-Long Term Insomnia Primary Insomnia Secondary Insomnia
Chronic-Long Term Insomnia
From illness, psych, or substance abuse
Transient Insomnia Short Term Insomnia Chronic-Long Term Insomnia Primary Insomnia Secondary Insomnia
Chronic-Long Term Insomnia or Secondary Insomnia
At least 1 month
Transient Insomnia Short Term Insomnia Chronic-Long Term Insomnia Primary Insomnia Secondary Insomnia
Primary Insomnia
Rules out secondary causes
Transient Insomnia Short Term Insomnia Chronic-Long Term Insomnia Primary Insomnia Secondary Insomnia
Primary Insomnia
Classified by duration
Transient Insomnia Short Term Insomnia Chronic-Long Term Insomnia Primary Insomnia Secondary Insomnia
Transient, Short term, long term
Classified by identifiable cause
Primary + secondary
Avoid caffeine, alcohol or nicotine __ to __ hrs before bedtime
4 to 6
What OTC is approved for the management of transient and short term insomnia?
Diphenhydramine
Diphenhydramine is used for…?
Transient Insomnia Short Term Insomnia Chronic-Long Term Insomnia Primary Insomnia Secondary Insomnia
Transient + short term insomnia
What is the best recommendation for insomnia?
Diphenhydramine 50mg for 7-10 days
What are some complementary options for insomnia?
Melatonin, 5-HTP, valerian, kava
Exclusion of insomnia
Age?
<12 yrs and >64yrs old