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NURS 200 > Sleep > Flashcards

Sleep Flashcards

1
Q

why is SLEEP so important?

A
  • helps us to CONCENTRATE, FOCUS, and MAKE PROPER JUDGEMENTS
  • without it, we get more IRRITABLE, and makes it harder to focus/concentrate
  • looks different for EVERYONE
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2
Q

circadian rhythm

A

the NORMAL PATTERN of our sleep; the 24 hour day and night cycle

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3
Q

how is our SLEEP REGULATED?

A

by various SEQUENCES of PHYSIOLOGICAL STATES by the CNS and its activities

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4
Q

hypothalamus

A

is our MAJOR SLEEP CENTER
- controls the RHYTHM of the SLEEP WAKE CYCLE
- also secretes HYPOCRETINS to promote wakefulness

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5
Q

reticular activating system (RAS)

A

contains CELLS that maintain alertness & wakefulness

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6
Q

homeostatic process (process s)

A

regulates RATE/DEPTH of sleep

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7
Q

does our ENVIRONMENT influence sleep?

A

yes!
more sick - more sleepy
having a more QUIET/DARKER environment promotes sleep
younger ages; tend to sleep more

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8
Q

what are the STAGES OF SLEEP?

A
  • NONRAPID EYE MOVEMENT (NREM)
  • RAPID EYE MOVEMENT (REM)
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9
Q

definition of NREM

A
  • around a 90 MIN sleep cycle
  • where we have more SLOWER BIOLOGICAL FUNCTIONS (HR, RR, temp, BP, musc. tone)
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10
Q

definition of REM

A
  • where we have INCREASED brain ACTIVITY
  • is around 25% of the night; where DREAMS occur
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11
Q

what is the TYPICAL SLEEP CYCLE?

A
  1. Presleep Period
    - 10 - 30 minutes
  2. ~three stages of NREM/REM
    - 90 - 110 minutes
    **cycles can depend on TOTAL AMOUNT OF TIME person spends sleeping `
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12
Q

presleep period

A

where person is starting to be AWARE of gradual developing sleepiness

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13
Q

functions of SLEEP

A
  • restoration
  • consolidation of memory
  • restoring biological processes
  • protein synthesis/cell division
  • learning/adapting to stress
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14
Q

what are some cases of HOW PHYSICAL ILLNESS can disturb sleep?

A
  • can make you more anxious or cause discomfort during sleep
    ex.
    resp. - SOB/orthopnea
    heart/HT - early morning wakening/fatigue
    nocturia - if pregnant/diuretics
    GI - link between GI and sleep/gastric acid
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15
Q

restless leg syndrome

A

recurrent and rhythmical movement of the legs/feet
- itching sensation

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16
Q

insomnia

A

the MOST COMMON sleep-related complaint
- having CHRONIC DIFFICULTY in falling asleep

17
Q

sleep apnea

A

the INABILITY to BREATHE and SLEEP at the same time
- often seen in OBESE/HTN patients; can stop breathing during sleep

18
Q

narcolepsy

A

having EXCESSIVE DAYTIME SLEEPINESS

19
Q

cataplexy

A

sudden MUSCLE WEAKNESS during INTENSE EMOTIONS or OVERSTIMULATION of MUSCLES

20
Q

parasomnias

A

sleep disorders more common in CHILDREN
- nightmares
- enuresis
- somnambulism (sleep walking)

21
Q

does BED REST guarantee sleep?

A

no, just because a patient is in bed, does not necessarily mean they are rested–can be having EMOTIONAL distress or pain

22
Q

neonates

A

16 hours

23
Q

infants

A

15 hours with naps

24
Q

toddlers

A

12 hours total with naps

25
Q

preschoolers

A

around 12 hours

26
Q

school-age

A

between 9 - 12; can vary

27
Q

adolescents

A

8 - 10 recommended

28
Q

young adults

A

6 - 8.5 hours

29
Q

middle adults

A

7 - 9

30
Q

older adults

A

can vary

31
Q

beta-blockers

A

can cause INSOMNIA or NIGHTMARES

32
Q

what are drugs and substances that can influence sleep?

A
  • hypnotics
    -alcohol; reduces sleep and REm
  • caffeine
  • diuretics; nocturia
33
Q

Epworth sleepiness scale

A

scale ranging from 0 - 3
- asks specific 8 questions about likely hood of being sleepy during certain activities

34
Q

NANDAS

A

 Adequate Sleep
 Fatigue
 Impaired Sleep
 Reduced Fatigue
 Sleep Deprivation

NURS 200 (24 decks)

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