Sleep

Question 1

What three rhythms does sleep regulate?

Answer 1

1. Homeostatic
2. Circadian
3. Ultradian

Question 2

During _______ Sleep an anabolic state marked by physiological processes of growth and rejuvenation of an organism’s immune, nervous, muscular and skeletal systems occurs

Answer 2

non-REM

Question 3

Circadian rhythm is regulated by

_______ in the morning and _____ at night

Answer 3

Cortisol in the morning

Melatonin at night

Question 4

Ultradian rhythm is regulated by ______ and occurs in ____ minute intervals

Answer 4

Dopamine regulated

90 minute intervals

Question 5

Name the stage of sleep:

Interim between consciousness and sleep

Answer 5

Stage one

Question 6

Name the stage of sleep:

Heart rate slows, brain does less complicated tasks

Answer 6

Stage 2

Question 7

Name the stage of sleep:

Body makes repairs

Answer 7

Stage 3

Question 8

Name the stage of sleep:

Body temp. and BP decrease

Answer 8

Stage 4

Question 9

Name the stage of sleep:

Increase in HR, eye movement, BP, breathing and temp.

Answer 9

Stage 5 (REM sleep)

Question 10

What issues affect sleep?

Answer 10

Medical Illness
Psychiatric condition
Medication
recreational drugs
surgery
age
stress
poor sleep habits
environmental conditions
sleep disorders

Question 11

Name some medications that affect sleep.

Don’t need to memorize, just be familiar

Answer 11

antihypertensive
anticholinergics
antidepressants
antihistamines
corticosteroids
diuretics
herbal remedies

Question 12

Strategies for getting a good sleep

Name 4

Answer 12

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

Question 13

What are the 3 types of insomnia?

Answer 13

Transient
Intermittent
Chronic

Question 14

This common disorder is characterized by repetitive cessation of breathing during sleep

Answer 14

Sleep Apnea

Question 15

Name three problems sleep apnea can cause

Answer 15

1. daytime sleepiness
2. Impaired cognitive function
3. can lead to chronic illness and organ issue

Question 16

What are the two types of sleep apnea?

Answer 16

1. Obstructive sleep apnea syndrome (Caused by blocked upper airway)
2. Central sleep apnea (Caused by lack of inpulses from CNS)

Question 17

What problems present with children who have sleep apnea? (4)

Answer 17

Cardiac difficulties
behavioral issue
learning deficits
growth disturbances

Question 18

T/F Children with sleep apnea are less likely to have ADHD

Answer 18

False. Two time more likely

Question 19

T/F Sleep apnea is common with down’s syndrome, CP and craniofacial abnormalties

Answer 19

True.

Question 20

Sometimes ______ and _____ will be removed to help with sleep apnea in children.

Answer 20

Tonsils and adenoids

Question 21

CPAP stands for??

Answer 21

continuous positive airway passages

Question 22

What can OT do for sleep?

Answer 22

1. Ask clients about daytime sleepiness/fatigue
2. Listen for complaints about insomnia and abnormal sleep-related behaviors
3. Consider formal evaluation and referral
4. Seek an MD order to treat using OT methodology

Question 23

What are some behavioral approaches to improving sleep?

Answer 23

Sleep log and questionaires for 2 weeks
Effective sleep hygiene
Environmental management
Cognitive Behavioral approach
Hypnotic meds (MD only)

Question 24

What things are included in sleep hygiene?

Answer 24

caffeine, nicotine, alcohol, exercise, light bedtime snack,