Obstructive Sleep Apnoea Flashcards
1
Q
What are RF
A
obesity
macroglossia - acromegaly, hypothyroidism, amyloidosis
large tonsils
Marfans
2
Q
What are the CF
A
XS snoring
Periods of apnoea
XS daytime sleepiness
3
Q
What are the consequences?
A
daytime somnolence
compensated resp acidosis
HTN
4
Q
How can sleepiness be assessed?
A
Epworth sleepiness scale questionnaire
Multiple Sleep Latency Test - measures time to fall asleep in dark room using EEG
5
Q
What are the diagnostic tests?
A
Sleep studies - polysomnography - ranges from monitoring pulse oximetry at night to wide variety of physiological factors incl EEG, resp airflow, thoracic-abdo movement, snoring + pulse oximetry
6
Q
What is management ?
A
WL
CPAP - 1st line for mod/severe
Intra-oral devices - if CPAP not tolerated or mild + no daytime sleepiness
INFORM DVLA
