Sleep Flashcards
What three rhythms does sleep regulate?
- Homeostatic
- Circadian
- Ultradian
During _______ Sleep an anabolic state marked by physiological processes of growth and rejuvenation of an organism’s immune, nervous, muscular and skeletal systems occurs
non-REM
Circadian rhythm is regulated by
_______ in the morning and _____ at night
Cortisol in the morning
Melatonin at night
Ultradian rhythm is regulated by ______ and occurs in ____ minute intervals
Dopamine regulated
90 minute intervals
Name the stage of sleep:
Interim between consciousness and sleep
Stage one
Name the stage of sleep:
Heart rate slows, brain does less complicated tasks
Stage 2
Name the stage of sleep:
Body makes repairs
Stage 3
Name the stage of sleep:
Body temp. and BP decrease
Stage 4
Name the stage of sleep:
Increase in HR, eye movement, BP, breathing and temp.
Stage 5 (REM sleep)
What issues affect sleep?
Medical Illness Psychiatric condition Medication recreational drugs surgery age stress poor sleep habits environmental conditions sleep disorders
Name some medications that affect sleep.
Don’t need to memorize, just be familiar
antihypertensive anticholinergics antidepressants antihistamines corticosteroids diuretics herbal remedies
Strategies for getting a good sleep
Name 4
Get up at the same time everyday set a schedule exercise avoid caffeine, nicotine and alcohol relax before bed sleep until sunrise don't lie in bed awake manage environment talk to your doctor if sleeping problems persist
What are the 3 types of insomnia?
Transient
Intermittent
Chronic
This common disorder is characterized by repetitive cessation of breathing during sleep
Sleep Apnea
Name three problems sleep apnea can cause
- daytime sleepiness
- Impaired cognitive function
- can lead to chronic illness and organ issue
What are the two types of sleep apnea?
- Obstructive sleep apnea syndrome (Caused by blocked upper airway)
- Central sleep apnea (Caused by lack of inpulses from CNS)
What problems present with children who have sleep apnea? (4)
Cardiac difficulties
behavioral issue
learning deficits
growth disturbances
T/F Children with sleep apnea are less likely to have ADHD
False. Two time more likely
T/F Sleep apnea is common with down’s syndrome, CP and craniofacial abnormalties
True.
Sometimes ______ and _____ will be removed to help with sleep apnea in children.
Tonsils and adenoids
CPAP stands for??
continuous positive airway passages
What can OT do for sleep?
- Ask clients about daytime sleepiness/fatigue
- Listen for complaints about insomnia and abnormal sleep-related behaviors
- Consider formal evaluation and referral
- Seek an MD order to treat using OT methodology
What are some behavioral approaches to improving sleep?
Sleep log and questionaires for 2 weeks Effective sleep hygiene Environmental management Cognitive Behavioral approach Hypnotic meds (MD only)
What things are included in sleep hygiene?
caffeine, nicotine, alcohol, exercise, light bedtime snack,
