Sleep Flashcards
what happens to REM latency in depression
shortens
deficit in which chemical is responsible for narcolepsy
hypocretin
strongest anti-cataplectic med
sodium oxybate
name three tx for daytime sleepiness associated with narcolepsy
- modafinil 2. methyphenidate 3. dexedrine
what happens to sleep latency in chronic alcohol drinkers
increase sleep latency
first line tx for primary insomnia
CBTi
which neurotransmitter is released during rem sleep
Ach
what is the effect of benzos on rem sleep
suppresses rem
what are the four ways to diagnose narcolepsy
- PSM showing REM latency <15 min 2. hypocretin-1 deficiency 3. cataplexy 3, MSLT of SL<8 mins, or 2 or more SOREMPs
best tx for sleep paralysis and hypnogogic hallucinations
SSRIs and TCAs
what happens to REM as one ages
REM gets shorter, more episodes but less total REM
what does a sleep attack on EEG look like?
rapid transition from alpha waves to theta waves
what pattern will be seen on an EEG during a night terro
slow waves
what pattern is seen on EEG during REM
sawtooth waves
which stage of sleep does a young adult spend 50% of their time?
Stage II
K complexes are seen in which stage of sleep
II
what pattern is seen on EEG when you are awake and eyes open
beta waves
what pattern is seen on EEG when you are drowsy and eyes closed
alpha waves
what pattern is seen on EEG when you are in Stage I
theta waves
where is circadian rhythm regulated
suprachiasmatic nuclei in the anterior pituitary
Is there generally a positive family hx associated with sleep terror
yes
what is on the differential for sleep terror in adolescents
temporal lobe epilepsy
Which are the two types of non Rem sleep disorders
- sleepwalking 2. sleep terrors
Which illness is most associated with REM sleep behavior disorder
Parkinson’s
what is somnambulism
sleepwalking
when does narcolepsy typically occur
late adolesc, early adulthood (before 30)
which gender is sleep terrors more common
males
which muscle does RLS affect
anterior tibialis
what is the tx for REM behavior sleep d/o (RBD)
clonazepam
what is the first thing to do when creating a QI project
create an aims statement/objectives
