OSA Flashcards

1
Q

what is SBD?

A

condition with complete or partial apnea during sleep

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2
Q

what are the 2 types of sleep apnea?

A

obstructive or central

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3
Q

what is obstructive sleep apnea?

A

complete or partial obstruction of the airway

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4
Q

what is central sleep apnea?

A

characterized by inadequate respiratory effort

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5
Q

what type of sleep apnea/hypopnea of comprises majority of the cases?

A

OSA

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6
Q

what are 3 main categories of problems caused by sleep apnea?

A

cardiovascular disease (HTN, DM, stroke)
Loud snoring
excessive day time sleepness

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7
Q

what are some cardiovascular dieseases assocaited with sleep apnea?

A

including CAD, CHF, cor pulmonale, cardiac arrhythmias, and pulmonary HTN.

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8
Q

what diseases gets worse with OSA?

A

diabetes

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9
Q

what causes central sleep apnea? 3 examples

A

CHF, extreme obesity, and neurologic injuries

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10
Q

how many stages of Non-REM sleep are there?

A

4

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11
Q

what is the apx time that people swithc between REM and Non-REM sleep?

A

90 mins

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12
Q

what is the most common cause of OSA?

A

Obesity

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13
Q

Can non obese people get OSA? if so, why?

A

yes, due to inherited or acquired anatomic narrowing of the upper airway

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14
Q

what causes excessive daytime sleepness in sleep apnea?

A

resultant hypoemia and hypercapnia causes increase in muscle tone that leads to arrousal.

Persistant arousal throughout the night leads to sleepiness

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15
Q

what 2 physiologic traits do patients who have central sleep apnea have?

A

increased respiratory drive and hypocapnea

some may have the opposite, decreased respiratory drive and co2 retention and hypoventillation

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16
Q

what breathing pattern is scene in sleep apnea?

A

cheyne-stokes breathing

17
Q

what is the definative test for sleep apnea?

A

polysomnogram

18
Q

what is the treatment of choice for OSA?

A

CPAP

19
Q

what are some alternative treatment options for sleep apnea?

A
  • dental appliances
  • surgery (bi-passing airway or remove tonsils)
  • trach (Life threatening cases)