Sleep Disorders Flashcards
What is the defn of normal sleep
reversible state of perceptual disengagement and unresponsiveness to the eviro
Sleep is usually accompanied by (2 things)
postural recumbency
physical quiescence
Sleep needs change (normally) with…
age
What are symptoms of sleep problems?
sleepiness insomnia snoring abnormal behaviors (seizures) nightmares abnormal movements (restless legs)
assessment that evaluates the likelihood or problems intubation (shows how obstructed the posterior pharynx is by the tonge)
oral “cube” mallampati
class 3 or 4 oral mallampati
sleep apnea
(cannot see the posterior oral pharynx
Morbitiy and mortality assc with sleep problems
car accidents sleepiness bed partner CVD HTN CHF/PHTN A fib
libby zion case
why we have duty hour restrictions
*resident mistake bc they were tired
time spent in REM (inc or dec) as you have been sleeping longer
longer
**rem and non-rem alternate all night (i.e. 90 to 120-mins cycles)
What part of the brain controls need for sleep
hypothalamus
* think thats what he said, i was reading a blog post during this part of the lecture…
Melatonin production (increases or decreases) during the day
decreases
When is growth hormone secreted
at night during slow wave sleep
**imp for teenagers
What are common sleep pathologies
obstructive sleep apnea central apneas and periodic breathing obesity hypoventialtion syndrome restless leg syndrome narcolepsy insomnia
movements that are not assc with sleep (i.e. sleepwalking, sleep talking)
parainsomniaa
What is the prevalence of OSA
4% in men and 2% in women in 30-60 y/o
*prob due to weight gain as we age
