Physiology of sleep Flashcards

1
Q

Characteristics of NREM sleep

Phases

shape of sleep waves

arousal threshold, muscle activity compared to awake

type of eye movements

A

N1, N2, N3 (slow wave sleep

high amplitude, slow waves

incr arousal threshold, decr muscle activity

slow rolling eye movements

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2
Q

Characteristics of NREM

HR, resp, metab

when does it occur in sleep

A

decr HR, resp, metab

early in sleep

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3
Q

when do disorders of arousal occur during sleep

A

walking, terrors, night eating during N3 slow wave sleep

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4
Q

Characteristics of REM

type of eye movements

lasts how long

what does EEG look like

compare arousal threshold, muscle activity to NREM

A

rapid eye movements

approx 90 min

EEG looks like awake

incr arousal threshold compared to NREM
muscles paralyzed except eyes, mid ear, diaphragm

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5
Q

Characteristics of REM

temp regulation

clitoris and penis

HR, resp

A

suspended temp regul
brain temp incr

incr clit and penis

irregul HR, resp

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6
Q

when do most reconciliable dreams occur

A

REM

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7
Q

what stage of sleep occurs late in sleep during early morning hours

A

REM sleep

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8
Q

describe interaction of circadian (process C) and homeostatic system (process S) and effect on wake and on sleep

A

Process C operates independent of both behavior and light input (when and how often you sleep)

if light appropriate, it reinforces C rhythm

homeostatic process S that contirbute to feeling sleepy

PRESSURE FROM BOTH C AND S THAT CONTRIBUTE TO FEELING SLEEPY –> changes core body temp

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9
Q

sleep effect on NT

A

over course of day, you decr NT and you need sleep to get all NT back to normal

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10
Q

you are best able to sleep when ___

and most alert when ___

A

best sleep = core temp lowest

most alert = body temp greatest

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11
Q

pedunculopontine tegmental = caudal to substantia nigra

1) REM-on/wake-on neurons

1) NT involved?
2) when is it active

A

1) ACh

2) active in Wake and very active REM

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12
Q

pedunculopontine tegmental = caudal to substantia nigra

1) REM-on neurons

1) NT involved?
2) when is it active

A

1) ACh

2) active in REM

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13
Q

Dorsal raphe

1) NT involved?
2) when is it active

A

1) serotonin

2) active = wake
reduced = NREM

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14
Q

Locus ceruleus

1) NT involved?
2) when is it active

A

1) NE

2) active = wake
reduced = NREM

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15
Q

tubulomammillary posterior hypothal

1) NT involved?
2) when is it active

A

1) histamine

2) active = Wake

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16
Q

ventral lateral pre-optic anterior hypothal

1) NT involved?
2) when is it active

A

1) GABA, galanine

2) active = NREM
reduced = REM

17
Q

VTA and subst nigra

1) NT involved?
2) when is it active

A

1) dopamine

2) active = wake, REM

18
Q

basal forebrain

1) NT involved?
2) when is it active

A

1) adenosine

2) incr in wake
decr in NREM

19
Q

lateral hypothal

1) NT involved?
2) when is it active

A

1) hypocretin

2) active = wake
some active = REM

20
Q

which neurons are important in driving REM sleep

A

cholinergic nuclei of brain stem (PPT neurons)

21
Q

what is important for sleep initiation

A

VLPO of anterior hypothal (GABA/galanine)

22
Q

what is disturbed in narcolpesy

A

lateral hypothal (hypocretin)

23
Q

what causes homeostatic pressure to incr during wake?

A

accum adenosine

24
Q

sleep/wake cycle governed by

A

interaction btwn homeostasis (S) and circadian rhythm (C system)

25
NREM and slow wave (N3) occurs ___ in sleep and REM peaks ___
``` NREM = early sleep REM = early morning ```
26
short REM latency seen in ___
depression alcohol withdrawal narcolepsy OSA
27
SCN importance in sleep
receive light from retina to control sleep wake
28
hypothal importance in sleep
contains GABA, histamine, hypocretin nuceli for wakefulness and sleep patterns
29
thalamus importance in sleep
closed by GABA and galanin to generate sleep spindles in sleep initiation
30
brainstem importance in sleep
has aminergic (REM-off) and cholinergic (REM-on) neurons to thal and cortex for sleep patterns cholinergic neurons open thal to wake us up
31
role of light in sleep patterns
1) light enters eye 2) travel to SCN 3) pineal gland 4) superior cervical ganglion 5) inhib melatonin
32
compensation following sleep loss =
homeostatic drive to sleep likely due to adenosine buildup