Sleep Flashcards
Uses of EEG
. Diagnosis of disease
. Determination of brain death
. Distinguish stages fo sleep
Alpha wave
. Rhythmic waves w/ freq. of 8-13 Hz and moderately low voltage
. Characteristic of awake patients resting quietly
Beta waves
. Lower voltage at higher frequency (14-50 Hz)
. During activation of cortex in awake patient
. Observed primarily when actively concentrating
Theta waves
. Higher voltage w/ freq. of 4-7 Hz
. Mostly recorded in children in parietal and temporal lobes
. Can be seen in adults experiencing frustration and disappointment
. Recorded during stages 2-4 of slow-wave sleep and in bursts during REM
Delta waves
. Very slow (less than 4 Hz) high voltage waves
. Recorded in stage 3 slow-wave sleep and stage 4 slow wave sleep
. Also characteristic of coma
Waking state
. Alpha when relaxed
. Beta when concentrating (beta replaces alpha)
Types fo sleep
Slow-wave sleep
. REM
Stage 1 sleep
. Alpha waves disappear and replaced by low voltage mixed freq. waves
. Thoughts become dissociated but subjects easily aroused by low-intensity stimulation
. Transitional stage btw drowsy but awake and light sleep
Stage 2 sleep
. Light creep
. Low voltage mixed freq. waves
. Occurrence of sleep spindles (short bursts alpha waves) and K complexes (single large biphasic deflections)
Stage 3 sleep
. Deep sleep w/ delta waves w/ freq. less than 2Hz observed 20-50% of time
Stage 4 sleep
. Deep sleep w/ delta waves more than 50% of the time
Eye movement in slow wave deep sleep stages
. Stage 1: slow rolling movement
. 2-4 motionless
. Other skeletal mm. Are active during stages 1-4
REM sleep
. At end of each slaw wave sleep cycle
. Short period where EEG pattern looks similar to wide awake pattern (beta) even through person is dreaming and not awake
. Difficult to arouse person, but a person is more likely to spontaneously wake up in REM that’s other stages
. Rapid eye movements
. Irregular HR and respiration
. Story-like dreaming
New sleep classification system
. Stage W: wakefulness
. Stage N1 and N2: light sleep
. Stage N3: (combines stages 3 and 4): deep sleep
. Stage R: active/REM sleep
. Pattern of cycles called sleep architecture
When are stages 3 and 4 more likely to occur opposed to REM
. 3 and 4 more likely in first few hrs of sleep
. REM more frequent and period is longer late in sleep period (morning hrs)
. If total sleep time is shortened then REM sleep is disproportionately reduced
Age in relation to sleep cycle
. Sleep time dec. w/ age
. Relative percentage of REM vs slow wave dec. from infancy to adulthood
Skeletal mm. Changes during sleep
. activity declines during slow wave sleep
. During REM there is tonic inhibition of skeletal m. Except eye mm. And primary mm. Of respiration
. Period twitches and muscular tremors of face and limbs occur in REM when periodic bursts of excitatory activity break through generalized tonic inhibition
Cardiovascular and respiratory system during sleep cycle
. Slow wave sleep has steady dec. in bp, HR, and RR
. REM has inc. and large oscillations in bp, HR, and RR
. Very high phasic bps in REM assoc. w/ strokes and heart attacks
. Fatal heart attacks most common from 5-6am when most people are in REM sleep
Growth hormone in children sleep cycle
. Secreted exclusively during sleep
. Peaks during early portion of sleep period (non-REM stages 3 and 4)
. In adolescence and puberty it is still mostly at night but there are also peaks throughout the day
Prolactin in sleep
. Secretion occurs almost entirely during sleep
. Maximal in morning hours
Cortisol during sleep
. Reaches its minimum early in sleep and peaks at end of sleep period