Obstructive Sleep Apnea Flashcards

1
Q

where and why does OSA occur?

A
  • between the region of the tongue and the epiglottis
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2
Q

Risk factors to sleep apnea?

A
  • fat in upper airway structures
  • smoking
  • craniofacial abnormalities
  • male
  • aging
  • menopause
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3
Q

Symptoms of Obstructive Sleep Apnea

A
  • excessive daytime sleepiness/unrefreshing sleep
  • loud snoring
  • witnessed apneas
  • insomnia
  • mouth breathing, sore throat
  • morning headaches
  • nocturia
  • cognitive impairment
  • impotence
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4
Q

An epworth sleepiness scale (ESS) score of what is abnormal?

A

Greater than 11= abnormal

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5
Q

Diagnostic testing in obstructive sleep apnea

A
  • in lab polysomnography (PSG)
  • home sleep testing: type 3 (4-7 channels: oximetry, airflow, nasal pressure, respiratory effort, HR)
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6
Q

What is considered mild, moderate and severe OSA?

A
  • 5-14.9: mild
  • 15-29.9: moderate
  • > 30: severe

Apnea Hypopnea index

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7
Q

Who do we treat with OSA?

A

AHI 5-15 with any of the following:

  • hypertension
  • stroke
  • excessive daytime sleepiness
  • ischemic heart disease
  • insomnia
  • mood disorders
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8
Q

what are some cardiovascular consequences to obstructive sleep apnea?

A
  • systemic hypertension
  • coronary artery disease
  • arrhythmias
  • congestive heart failure
  • mortality
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