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Module 1 Exam 5 > Sleep > Flashcards

Sleep Flashcards

1
Q

Sleep

A

Person lacks conscious awareness but easily awakened

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2
Q

Sleep Disturbances vs Disorder

A

Dist: Conditions of poor sleep quality
Diso: Abnormalities unique to sleep

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3
Q

RAS

A

Reticular Activating System: Causes Alertness and Attention

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4
Q

4 Functions of RAS

A

Motor
Sensory
Visceral
Consciousness

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5
Q

Circadian Rhythm
Managed by?

A

Biological rhythm of behavior over a 24hr period
Suprachiasmatic Nucleus (SCN) in hypothalamus

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6
Q

Strongest queue for our sleep rhythm

A

light

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7
Q

Sleep Latency

A

When someone begins to fall asleep

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8
Q

How much does NREM sleep make up for?

A

75%-80%

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9
Q

Parasomnias
When are they most common?

A

Unusual behaviors while falling asleep
- When transitioning between sleep phases

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10
Q

How to help w/ ICU Psychosis

A

Lower lights open blinds

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11
Q

Cause of Chronic Insomnia

A

Often not known
Maybe: Stressful event
Psych. illness/ med condition
Substance Abuse

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12
Q

How long to ask pt to sleep log when suspected of insomnia?

A

2 weeks

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13
Q

Diagnosis of Insomnia

A

Self
Actigraphy
Polysomnography

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14
Q

What is the first line of defense for insomnia?

A

Cognitive-Behavioral Therapy

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15
Q

Drug therapy for Insomnia (5)

A

Benzodiazepine
Melatonin Agonist
Antidepressant
Antihistamines
Alternative therapy

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16
Q

Sedative-Hypnotic Drug

A

Treats anxiety/insomnia
Depress CNS function

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17
Q

Common Benzodiazepines for sleep

A

Temazepam
Triazolam

18
Q

Sleep apnea Symptoms (6)

A

Snoring
Day time sleepiness
Breathing obstruction in sleep
Morning headache Unrefreshing sleep
Increased Irritability

19
Q

Complications of sleep can result in (5):

A

Hypertension
Cardiac Changes
Poor memort
Impotence
Depression

20
Q

Apnea is not breathing for ____

A

10-90 seconds

21
Q

How many times can apnea happen in a 6-8hr period

A

200-400

22
Q

What can sleep apnea lead to?

A

Insomnia

23
Q

Who is at more risk for sleep apnea?

A

Obese ppl
ppl >65 y/o
ppl with tech circumference over 17in.
ppl with craniofacial abnormalities that affect the airway
Smokers

24
Q

Between men and women who is it more common in?

A

Men until women are in menopause, then it evens out but it becomes more dangerous for women

25
Q

How common is sleep apnea?

A

2-10% of Americans but considered to be underreported

26
Q

How long does a diagnosis take foe sleep apnea

A

1-2 nights

27
Q

Treatments for mild sleep apnea?

A

Sleeping on ones side
Elevating head of bed
Avoiding sedatives and alcohol 3-4hrs before sleep
Weight loss
Oral appliance

28
Q

Treatment for severe sleep apnea

A

CPAP
BIPAP
Surgery (UP3 or GAHM)

29
Q

Most common treatments for mild sleep apnea

A

CPAP machines

30
Q

How does a BiPAP differ from a CPAP

A

BiPAP has one pressure for inhaling and the other for exhaling

31
Q

What is Narcolepsy?

A

When the brain is unable to regulate sleep wake cycles normally

32
Q

Ig a pt with narcolepsy goes to sleep suddenly, what stage is it?

A

REM

33
Q

What neuropeptide is linked to narcolepsy?

A

Orexin: low levels lead to difficulty staying awake

34
Q

2 types narcolepsy?

A

Type 1: With cataplexy
Type 2: w/o cataplexy

35
Q

Symptoms of narcolepsy?

A

Sleep paralysis
Cataplexy
Fragmented nighttime sleep

36
Q

Management for narcolepsy (5)

A

Sleep hygiene maintenance
Naps
Avoid Heavy meals and alcohol
Lifestyle changes
Ensure safety

37
Q

For sleep, older age is associated with (4)

A

shorter total sleep time
Decreased sleep efficiency
More awakenings
Insomnia Symptoms

38
Q

Dangers of sleep complications for older age?

A

Awakenings can lead to falls
Meds can contribute to sleep problems
Avoid long acting benzodiazepines

39
Q

Being awake for 17 and more than 24 hours is the same as what levels of blood alcohol?

A

.005%
.10% (Legally drunk)

40
Q

Do’s for nurse fatigue management

A

One break in addition to lunch
Use caffeine therapeutically as a stim.
Carbs + Proteins
Exercise

41
Q

Main DONT for nurse fatigue management

A

DONT drink alcohol

Module 1 Exam 5 (4 decks)

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