IRAT 3 SLEEP/FEVER Flashcards
The best cure for insomnia
Get a lot of sleep
Insomnia can be caused by
Psychiatric and medical conditions
Unhealthy sleep habits
Specific substances
Certain biological factors
Medical causes of insomnia
Allergies GI conditions Arthritis Asthma Neuro conditions Chronic pain Back pain Commonly taken medications
Insomnia other medical conditions
Restless leg syndrome
__ of US population has RLS
10% has restless leg syndrome
Airway becomes partially or completely obstructed during sleep
Sleep apnea
Oxygen levels drop and person wakes up briefly but often
Sleep apnea
Sleep apnea machine
CPAP
0-3 m recommended sleep
14-17 hours
4-11 m recommended sleep
12-15 hours
1-2 y rec sleep
11-14 hours
3-5 y rec sleep
10-13 hours
6-13 y rec sleep
9-11 hours
14-17 y rec sleep
8-10 hours
18-25 y rec sleep
7-9 hours
26-64 y rec sleep
7-9 hours
Greater than 64 rec sleep
9 hours
Pyrexia
Adult fever
Pyrexia caused by
A wide variety of illness
Pyrexia usually occurs in response to
An infection
Pyrexia rarely occurs without
Other symptoms
Pyrexia is often accompanies by
Specific complaints
Normal temp varies depending on
Individual
Time of day
Weather
Normal body temp
37C
98.6F
Body temp is controlled by
Hypothalamus
Hypothalamus controls body temp through
Shivering and sweating
Fever occurs when the immune system is triggered by
Pyrogens
Pyrogens
Fever producing substances
Fever means
100.4F
38C
Pyrogens include but are not limited to
Viruses Bacteria Fungi Drugs Toxins
Temp usually measured by insertion into
Mouth
Rectum
Axilla
Ear
Because of glass breakage and mercury, ___ is used in US
Digital thermometers
Or temp sensitive infrared device that measures temp in skin by rubbing sensor on body
Low grade fever
100-101F
Intermediate grade fever
102F
High grade fever
103-104
Dangerous fever
> 104F
Prolonged/persistent fever
Lasting longer than 10-14 days
Constant fever
Lasting longer than 3-4 days
Remittent fever
Comes and goes at regular intervals
Hyperpyrexia
> 106F
Viral fever is among the most frequent
Symptoms
Runny nose Sore throat Cough Horaseness Diarrhea Vomiting Upset stomach
Viral fever improves with
Time
May help with loss of electrolytes
Gatorade or sports drink
Influenza virus is a major cause of death in
Geriatric population
Influenza virus symptoms
Headache
Muscle/joint ache
Influenza virus usually occurs during
Winter
Works as an expectorant and has anti-viral properties
Garlic
Has anti-inflammatory properties and reduces muscle and joint pain
Ginger
Contain phytochemicals called limonoids that have antiviral properties/they also help to increase WBCs
Oranges
Contains antiviral compounds and works as an antitussive
Honey
Bacterial fever can affect
Any organ system in the body
CNS symptoms of bacterial fever
HA Stiff neck Confusion Lethargy Irritability Photophobia
Respiratory symptoms bacterial fever
Cough Dyspnea Chest pain Mucus production HA Sore throat
GU symptoms bacterial fever
Dysuria
Hematuria
Urge to urinate
Back pain
Reproductive symptoms bacterial fever
Pelvic discharge
Pelvic pain
PID
GI symptoms bacterial fever
Diarrhea Vomiting Stomach upset Steatorrhea Abdominal pain
Circulatory symptoms bacterial fever
Body aches
Chills
Weakenss
Confusion
Skin symptoms bacterial fever
Redness Swelling Warmth Pus Pain Abscess Cellulitis Rash
Fungal fever can affect
Any organ
May require biopsy to diagnose
Fungal fever
Fungal fever may require __ meds
Antifungal
Animal exposure fever bacteria usually exist in
Livestock
Unpasteurized dairy products
In urine of infected animals
People who work with livestock and such can develop these symptoms when having animal exposure fever
Chills
HA
Muscle/joint ache
Anyone who travels especially outside the US may develop traveler’s fever after exposure to
New foods, insects, toxins
A fever that occurs after starting a new medication
Drug fever
Should go away after the drug is stopped
Drug fever
Thrombus may cause fever due to
Inflammation in blood vessel
Blood clot fever
Tumor fever
Cancer can cause fever in a variety of wayes
Tumor can make pyrogens
Tumor can become infected
Brain tumors can affect the hyptothalamus
CA meds can cause fever
Immune system can be compromised in CA patients
Causes of weak immune systems
Cancer Cancer treatments Long term steroids HIV >65 No spleen Diabetes Alcoholism Heavy drug use
Environmental fever aka
Hyperthermia
Happens from overheating
Environmental fever
Caused with overexertion in hot environment
Environmental fever
Symptoms environmental fever
Confusion
Lethargy
Treated as a medical emergency
Must be cooled immediately