Sleep Disorders

Question 0

Insomnia vs insomnia disorder?

Answer 0

insomnia: complaint
disorder: pt starts to feel daytime sx

Question 1

Sleep phase delay aka circadian rhythm sleep-wake disorder?

Answer 1

CBT drops (core body temperature) --> arousal system quiets 
2 hrs after the CBT rises 
anything that changes the CBT - work, school etc

Question 2

Insomnia - sx?

Answer 2

fatigue
sleepiness
mood disturbances
affects on life

Question 3

Insomnia -complications?

Answer 3

MDD

insomnia+nightmare = suicide

Question 4

Insomnia-types?

Answer 4

transient

chronic

Question 5

Insomnia- transient?

Answer 5

1-2days - wks

Question 6

Insomnia transient- cx?

Answer 6

stress
high altitude
circadian misalignment: jet lag, shift work

Question 7

Insomnia -tx?

Answer 7

education
tx depression, anxiety
exercise
nothing? refer

Question 8

Restless leg syndrome?

Answer 8

feeling of crawling sensation- NOT PAIN

gets better when walking but comes back when sitting/sleeping

Question 9

Restless leg syndrome - labs?

Answer 9

check iron, ferritin

if low - tx iron

Question 10

Restless leg syndrome - tx?

Answer 10

take baths before bed

+/- drugs

Question 11

NREM sleep arousal disorders?

Answer 11

eyes often open
first half of sleep cycle
first concern: SAFETY
DO NOT WAKE THEM UP

Question 12

REM sleep behavior disorder?

Answer 12

eyes are closed
second half of sleep cycle
enacting DREAM: acts out (punching, kicking, tackling, wrestling)
WAKE THEM UP - they will tell you about the dream

Question 13

REM and NREM tx?

Answer 13

refer

Question 14

Narcolepsy?

Answer 14

excessive daytime sleepiness

cataplexy

Question 15

Narcolepsy - tx?

Answer 15

refer