Sleep Flashcards

1
Q

Sleep requirement for infants

A

12-18h

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2
Q

Sleep requirement for toddlers

A

12-14h

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3
Q

Sleep requirement for preschoolers

A

11-13h

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4
Q

Sleep requirement for elementary-agers

A

10-11h

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5
Q

Sleep requirement for teenagers

A

8.5 - 9.5h

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6
Q

Sleep requirement for adults

A

7-9h

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7
Q

Benefits of sleep health

A

1) immune system
2) glucose metabolism
3) improved productivity & performance
4) memory consolidation
5) the “critical determinant”

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8
Q

Consequences of sleep inadequacy

A

1) irritability
2) depression
3) behavior/relationship problems
4) reduced productivity

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9
Q

What proportion of US adults gets insufficient sleep 50% of the time every time?

A

25%

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10
Q

What is the most common sleep disorder?

A

insomnia

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11
Q

What is delta sleep?

A

Stage 3 & 4

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12
Q

REM makes up what proportion of sleep?

A

25%

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13
Q

Stage 2 makes up what proportion of sleep?

A

50%

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14
Q

Hormonal consequences of sleep deprivation?

A

+cortisol, +insulin, -leptin

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15
Q

What is the function of the SCN upon wakening?

A

+T, +cortisol

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16
Q

What is the function of the SCN regarding the pineal gland?

A

SCN delays melatonin release until dark

17
Q

Define insomnia

A

inability to initiate or maintain sleep, early morning awakening, or inability to resume sleep

18
Q

Define acute/episodic insomnia?

A

< 4 weeks (aka transient)

19
Q

Define chronic insomnia

A

> 4 weeks (usually needs tx)

20
Q

Define narcolepsy

A

excessive daytime sleepiness

21
Q

What happens in narcolepsy?

A

1) sleep attacks during day due to inability to regulate sleep/wake
2) cataplexy, hallucination, disrupted night sleep, temporary paralysis upon awakening

22
Q

How is narcolepsy treated?

A

antidepressants

23
Q

What is the cause of narcolepsy?

A

1) hereditary

2) associated with brain damage / neuro dz

24
Q

What are Ssx of sleep apnea?

A

snoring, excessive daytime daytime drowsiness, irritability, depression

25
Q

Comorbidities of sleep inadequacy

A

1) CVD
2) Depression
3) obesity
4) diabetes

26
Q

What are the risk factors for sleep apnea?

A

1) obesity

2) aging ( -muscle tone)

27
Q

what chronic dz states are affected by inadequate sleep?

A

arthritis, kidney dz, pain, HIV, epilepsy, parkinsons, depression

28
Q

What proportion of crashes are affected by inadequate sleep?

A

15 - 33%

29
Q

How is transient insomnia treated?

A

short-acting hypnotic for 7-10 days

30
Q

How is chronic insomnia treated?

A

intermittent hypnotic use for an un-established duration

31
Q

What is the only indication of melatonin?

A

jet-lab

32
Q

What is the indication for valerian

A

none–may or may not help sleep