Sleep and hypnotics first half 1.0 Flashcards

1
Q
A
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2
Q

What is sleep?

A

A readily reversible state of reduced responsiveness to, and interaction with, the environment

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3
Q

What is obtundation?

A

a state of consciousness from which only painful stimuli will return the patient to full consciousness

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4
Q

Functions of sleep?

A

Restorative, protective adaptation, metabolism/weight homeostasis, memory consolidation and integration

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5
Q

What is restored during sleep?

A

cortical recovery and tissue repair

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6
Q

Why is sleep a protective adaptaiton?

A

protection from nocturnal predators

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7
Q

What does an electroencephalogram (EEG) record?

A

The activity of populations of neurons in the brain

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8
Q

What does the frequency of an EEG show?

A

How fast the neurons are firing

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9
Q

What does the amplitude of an EEG show?

A

The amount of neurons firing in synchrony

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10
Q

What does an EEG sum show?

A

The summed activity from multiple electrodes

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11
Q

What does it mean for nerve cells to be synchronised?

A

They are all firing together

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12
Q

What are the amplitude and frequency characteristics of desynchronised neurons?

A

Fast wavelength, low amplitude

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13
Q

What are the amplitude and frequency characteristics of synchronised neurons?

A

Slow wavelength, large amplitude

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14
Q

Delta rhythms?

A

Slow (4Hz) and large amplitude, deep sleep

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15
Q

Theta rhythms?

A

SLow (4-7Hz), light sleep

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16
Q

Alpha rhythms?

A

Fast ish (8-13Hz), conscious relaxation

17
Q

Beta rhythms?

A

fastest (>14Hz), awake and alert

18
Q

Gamma oscillations?

A

Memory encoding, recall and attention

19
Q

Two categories of sleep?

A

Rapid eye movement (REM) and non-rapid eye movement (NREM)

20
Q

REM duration and activity?

A

~20 mins, dreaming

21
Q

NREM length

A

60-90 mins

22
Q

What happens to the length of NREM stages as you progress through the night

A

gets shorter

23
Q

What happens to the length of REM stages as you progress through the night

A

gets longer

24
Q

Awake rhythms?

A

alpha and beta

25
Q

How long does stage one NREM sleep last?

A

5 min

26
Q

Type of rhythms in REM sleep?

A

beta

27
Q

Stage 1 NREM characteristics?

A

5 mins, theta rhythms, starting to fall asleep, nerves begin to become synchronized

28
Q

Stage 2 NREM characteristics?

A

1-15 mins, spindle and k complex rhythms

29
Q

Stage 3 NREM characteristics?

A

5-25 mins, no eye/body movements, delta rhythms, restorative sleep

30
Q

Stage 4 NREM characteristics?

A

Deep sleep, 20-40 mins, delta rhythms

31
Q

What is the EEG of REM sleep similar to?

A

an active, waking brain

32
Q

When does dreaming occur?

A

REM sleep

33
Q

What is REM sleep referred to as?

A

An active, hallucinating brain in a paralysed body

34
Q

What kind of nerve activity predominates in REM sleep?

A

sympathetic

35
Q

What is increased in REM sleep as a result of sympathetic activity?

A

Heart rate, respiration rate and blood flow to the penis

36
Q

Changes in NREM sleep?

A

muscle tension reduced, temp lowered, energy consumption lowered, more parasympathetic activity