Sleep part 1 Flashcards

1
Q

What is rest?

A

decreased state of activity; “feeling refreshed.”

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2
Q

What is sleep?

A

state of rest accompany by altered consciousness and relative inactivity
Sleep wake cycle

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3
Q

Wakefulness occurs when this system is activated?

A

RAS: reticular activating system in the brainstem

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4
Q

This controls many involuntary activities like sleeping and waking.

A

Hypothalamus

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5
Q

Physiology of Sleep:

What neurotransmitters do excitation?

A
Norepinephrine
Acetylcholine
Dopamine
Serotonin
Histamine
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6
Q

Physiology of Sleep:

What neurotransmitters do inhibition?

A

GABA (gamma-aminobutyric acid)

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7
Q

What hormone regulates the sleep-wake-cycle and circadian rhythm?

A

melatonin

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8
Q

Physiologic/psychological rhythms are high or low during sleep and wake?

A
  • awake: most active

- Sleep: rhythms are low

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9
Q

Explain the sleep cycle?

A
  • Presleep sleepiness
  • NREM stage 1
  • NREM stage 2
  • NREM stage 3
  • NREM stage 4
  • NREM stage 3
  • NREM stage 2
  • REM sleep
  • back to NREM 2
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10
Q

What percent of sleep is NREM?

A

75%

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11
Q

What stages of NREM are light sleep?

A

I and II

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12
Q

What stages of NREM are deep sleep?

A

III and IV

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13
Q

What system dominates the NREM stages?

A

parasympathetic nervous system

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14
Q

What is decreased during the NREM where the parasympathetic nervous system dominates?

A

decrease in pulse, RR, BP, metabolic rate, body temp.

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15
Q

How long does each stage of NREM last?

A
  • stage I: few minutes
  • stage II: 10-20 minutes
  • stage III and IV: 15 to 30 minutes
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16
Q

Where is the inner biological clock located?

A

hypothalamus

17
Q

Which hormone signals the brain to stop eating?

Which hormone promotes continued eating?

A
  • leptin tells the brain to stop eating

- ghrelin promotes continued eating

18
Q

Which 2 systems in the brainstem are believed to work together to control the cyclic nature of sleep?

A
  • reticular activating system

- bulbar synchronizing region