Sleep Medicine - Franklin, Carlson

Question 1

What are diagnostic tehniques for sleep disorders?

Answer 1

Nocturnal polysomnogram monitors:

• EEG
• EOG (oculogram => eyes)
• EMG (chin and leg)
• Respiratory effort and airflow (for sleep apnea)
• EKG
• Oximetry
• Videotape

Question 2

What strategies are used for management of sleep apnea?

Answer 2

Sleep apnea:

• Position change
• Tongue-retaining device?
• CPAP (nasal continuous positive airway pressure)
• Surgical treatment (tracheostomy, uvulopalatopharyngoplasty)

Question 3

What strategies are used for management of Narcolepsy?

Answer 3

REM intrusion into the wake state:

• Counseling with pt and spouse
• Good sleep hygiene; naps
• Somnolence: Retalin, Dextroamphetamine, Provigil
• Cataplexy: Protriptyline, Imipramine (non-sedating TCA’s)

Question 4

What strategies are used for management of Alpha Intrusion?

Answer 4

• Treat underlying disorder
• Pain management
• TCA’s

Question 5

What strategies are used for management of Oneirism/REM atonia?

Answer 5

Dream enacting behavior:

• Despiramine
• Imipramine
• Carbamazepine
• Carbidopa/L-dopa