Sleep disturbance Flashcards
1
Q
Causes of insomnia
A
Exclude and treat Drugs e.g. caffeine, alcohol, B-blockers Anxiety, stress Depression Restless legs syndrome Sleep apnoea Night mares Physical disorders e.g. CCF arthritis Bed-wetting Reflux disease
2
Q
Treatment of insomnia
A
Give explanation and reassurance Treat cause if known Try to recognise what helps patient to settle best e.g. warm bath, listening to music Establish a routine before going to bed Sleep hygiene Avoid alcohol and drinks contains caffeine Day naps Exercise before bed try a warm drink of milk Organise a comfortable quiet sleep setting with right temperature Sex last thing at night where appropriate is usually helpful Remove pets fromt he bedroom Try relaxation therapy, meditation, stress management Consider hypnosis If all conservative means fail, Melatonin - OTC Zopiclone (imovane) Zolpidem tartrate (Stilnox) Temazepam Consider referral to a specialist in sleep disorders
