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Module 4 > Sleep-Insomnia > Flashcards

Sleep-Insomnia Flashcards

1
Q

transient sleep

A

Non-REM 1

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2
Q

light sleep

A

Non-REM 2

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3
Q

deeper sleep; longer at the beginning of the sleep cycle

A

Non-REM 3

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4
Q

deep sleep; gets longer as the night progresses (towards end of sleep)

A

REM 4

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5
Q

what are the 2 stages of sleep classified as

A

non-REM and REM

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6
Q

how many cycles do we typically have a night

A

5-6

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7
Q

how many hours should adults get of sleep

A

7-8hrs

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8
Q

how many hrs of sleep should teenagers get a night

A

10hrs

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9
Q

who can handle sleep deprivation better

A

adults

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10
Q

what regulates the sleep-wake cycle and regulates secretion of melatonin

A

reticular activating system (RAS)

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11
Q

what is the body clock triggered by light

A

circadian rhythm (hypothalamus)

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12
Q

what age is there a decrease in N3 and REM sleep

A

middle age

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13
Q

middle age has ______ awakenings, ______, and phase _________

A

increased; arousals; advancement

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14
Q

what decreases as we age

A

sleep efficiency (amount of time of sleep/ time in bed)

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15
Q

difficulty falling asleep, staying asleep and waking up feeling unrefreshed

A

insomnia

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16
Q

what are the 7 causes of insomnia

A
  • Psych
  • medical illness
  • stress
  • medications
  • substances
  • environmental
  • exercise
17
Q

what are risk factors of insomnia

A 
women higher risk than men
increasing age
depression/anxiety
low income
travel
18
Q

what assessments can be done for pt with insomnia

A 
have pt track sleep (2 week diary)
how did the pt feel the next day
how was their sleep environment
pittsburgh sleep quality test
epworth sleepiness scale
19
Q

what are treatments of insomnia

A

cognitive behavioral therapy
therapist
medication

20
Q

for insomnia you should ____ the ______ cause first

A

treat; underlying

21
Q

what are over the counter medications a pt with insomnia can take

A

benadryl (diphenhydramine)

Unisom ( doxylamine succinate)

22
Q

what develops quickly with short term management of sleep insomnias

A

tolerance

23
Q

melatonin mimics the body’s natural production of hormone and what surpasses melatonin secretion

A

light

24
Q

what prescriptions are given for pt with insomnia

A

sedative-hypnotic

benzodiazepines

25
Q

loss of neuropeptide that regulates arousal, wakefulness and appetite

A

narcolepsy

26
Q

what is the neuropeptide that is lost in narcolepsy

A

hypocretin (orexin)

27
Q

narcolepsy is also known as destruction of the cells that produce

A

hypocretin

28
Q

what happens with narcolepsy

A 
fragmented sleep
may or may not go into REM
wake with bad nightmares
night terrors
sleep walking
sleep paralysis
29
Q

caused by a strong emotion or laughter and can cause an attack (protruding tongue to full body collapse)

A

cataplexy (can happen with narcolepsy)

30
Q

how can a pt that has narcolepsy be hungry

A

signals for sleep associated with signals for hunger can over lap and a side effect of this is obesity

31
Q

what is the treatment for narcolepsy

A

at least 8 hrs of sleep a night
limiting alcohol
napping during day
medications

32
Q

what are the IOM recommendations for nurse fatigue

A

no more than 12 hours a day in a 24 hour period

limit to 60 hrs in a 7 day period

33
Q

who is at risk for nurse fatigue

A

the pt and the nurse themselve

34
Q

if a nurse is awake for 17 hours this equals same cognition as a blood alcohol level of

A

0.5

35
Q

if a nurse is awake for 24 hours this equals same cognition as a blood alcohol level of

A

0.10

36
Q

what are DO’S to avoid nurse fatigue

A
  1. take at least one break with addition of lunch break
  2. use caffeine therapeutically to stay awake
  3. good nutrition (complex carbs and protein)
  4. exercise
37
Q

what are DONT’s to help nurse fatigue

A

drinking alcohol because its a depressant

Module 4 (8 decks)

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