Sleep apnoea Flashcards

1
Q

What is sleep apnoea

A

Irregular breathing and abnormal snoring pattern during sleep that causes apnoea

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2
Q

Two types of apnoea

A

Obstructive and central

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3
Q

The most common type of apnoea

A

Obstructive

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4
Q

What is obstructive apnoea

A

Self explanatory, obstruction of the airways

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5
Q

What can cause obstructive sleep apnoea

A

Allergies, swollen adenoids/tonsils, underbite, obesity and hormonal changes at night causing muscles around trachea to relax.

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6
Q

What is central sleep apnoea

A

Sleep apnoea due to the CNS that causes no breathing for about 10-30 seconds.

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7
Q

What is the pathway for central sleep apnoea

A

Hyperpnoea (hyperventilating)-hypocapnia-apnoae-hypercapnia-hyperpnoea and this continues

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8
Q

Symptoms of sleep apnoea

A

Sleep deprivation, nocturia (urinate more during night), difficulty concentrating (fall asleep), headache, fatigue and loud snoring

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9
Q

Is sleep apnoea dangerous in itself

A

No but can lead to other potentially dangerous diseases

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10
Q

What are the other conditions sleep apnoea can cause

A

Arrhythmias, heart failure, respiratory failure, diabetes and cancer

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11
Q

How to diagnose

A

Sleep study where the number of episodes are monitored

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12
Q

What machine is sleep apnoea monitored with

A

Polysomnogram

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13
Q

What does a polysomnogram measure

A

Brain movement, O2 and CO2 concentration, vital signs, snoring and movement durinf sleep

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14
Q

Treatment (things to avoid)

A

Alcohol, sleeping pills and other depressants

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15
Q

Treatment (recommendation when sleeping)

A

Sleep on side

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16
Q

Treatment (machine)

A

Continuous positive airway pressure device (CPAP)

17
Q

What does a CPAP machine do

A

Keeps airways open with pressure and is very effective

18
Q

Treatment for obstructive only

A

Mouth piece and surgery (remove adenoids and/or realign jaw)

19
Q

What is the complication with surgery

A

Makes symptoms worsen short term