Insomnia_Flashcards
What is the definition of insomnia?
Insomnia is defined as difficulty initiating or maintaining sleep, or early morning awakening that leads to dissatisfaction with sleep quantity or quality.
What criteria define chronic insomnia?
Chronic insomnia is diagnosed if a person has trouble falling asleep or staying asleep at least 3 nights per week for 3 months.
What are the common investigations for insomnia?
Common investigations for insomnia are usually based on history, may use sleep diary, and rarely use polysomnography.
What should be identified in the management of insomnia?
In the management of insomnia, potential causes such as mental or physical health issues or poor sleep hygiene should be identified.
What advice should be given regarding driving for patients with insomnia?
Patients with insomnia should be advised against driving when sleepy.
What sleep hygiene practices should be advised for patients with insomnia?
Good sleep hygiene practices include no screens before bed, limited caffeine intake, and fixed bed times.
When should hypnotics be considered for insomnia?
Hypnotics should only be considered for insomnia if impairment is severe.
What hypnotics are recommended for severe insomnia?
Recommended hypnotics for severe insomnia include short-acting benzodiazepines (e.g., temazepam) or non-benzodiazepines (e.g., zopiclone).
What are the guidelines for using hypnotics for insomnia?
Hypnotics should be used at the lowest effective dose for the shortest duration, reviewed after 2 weeks, and referral for CBT should be considered.
What are the side effects of sleeping pills?
The side effects of sleeping pills include daytime sedation, poor motor coordination, cognitive impairment, and addiction.
