Sleep part 4

Question 1

What are the treatments for OSA?

Answer 1

• CPAP: holds airway open
• Oromandibular advancement surgery
• positioning: Elevate head of bed and assume a side or prone position.
• lifestyle changes

Question 2

What are some Chronic or recurrent patterns of sleep-wake rhythm disruption?

Answer 2

• shift work disorder

- jet lag

Question 3

What are some treatments for wake disorders?

Answer 3

Behavior therapy
Regular sleep/awake times
Avoiding naps
Regular exercise routine
Avoid caffeine, nicotine, and stimulating activities within several hours of bedtime
Light therapy
Chronotherapy

Question 4

Cannot sit still– creeping, crawling, or tingling sensations in the legs
Mostly in calf but may occur anywhere from the ankle to the thigh
ESRD, diabetes, iron deficiency, peripheral neuropathy, and pregnancy most common
antihistamines can exacerbate the symptoms

Answer 4

RLS

Question 5

What re some treatments for RLS?

Answer 5

Eliminating use of caffeine, tobacco, and alcohol
Taking a mild analgesic at bedtime
Applying heat or cold to the extremity
Using relaxation techniques.
Biofeedback and transcutaneous electrical nerve stimulation (TENS) may also relieve symptoms
Meds: ropinirole (Requip), pramipexole (Mirapex), gabapentin enacarbil (Horizant), and rotigotine (Neupro)
-parkinsons and anticonvulsants

Question 6

• decrease in the amount, consistency, or quality of sleep
• decreased REM sleep or NREM sleep
• effects of sleep deprivation become increasingly apparent after 30 hours of continual wakefulness.

Answer 6

-Sleep deprivation

Question 7

What are some symptoms of sleep deprivation?

Answer 7

• Loss of concentration
• Inattention
• Impaired information processing
• EDS (excessive daytime sleepiness)

Question 8

• Time patient retires
• Time patient tries to fall asleep
• Approximate time patient falls asleep
• Time of any awakenings during the night and when sleep was resumed
• Time of awakening in the morning
• Presence of any stressors patient believes are affecting his or her sleep
• A record of any food, drink, or medication patient believes has positively or negatively influenced his or her sleep (include time of ingestion)
• Record of physical activities—type, duration, and time
• Record of mental activities—type, duration, and time
• Record of activities performed 2 to 3 hours before bedtime, bedtime rituals, changes in sleep environment
• Presence of any worries or anxieties patient believes are affecting his or her sleep

Answer 8

• sleep diary

- can be used during assessment

Question 9

What do most OTC meds for sleep contain?

Answer 9

antihistamines

Question 10

What are the 3 types of sleep medications prescribed?

Answer 10

• benzodiazepines
• non-benzodiazepines
• hypnotics

Question 11

What is a good snack before bedtime?

Answer 11

light protein (tryptophan) and carb (makes tryptophan more available) snack before bed