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NURS 1255 > Sleep Powerpoint > Flashcards

Sleep Powerpoint Flashcards

1
Q

Regulated by

CNS
Hypothalamus
RAS
Homeostatic processes

A

Sleep regulation

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2
Q

2 main stages of sleep. Describe

How long does each stage last

A

Non REM: 4 Stages
Stages 1 & 2, 5% - 50% of sleep LIGHT SLEEP

Stages 3 & 4 10% of deep sleep (Delta Sleep)

REM: 20 - 25% of persons sleep (Deep)

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3
Q

During REM

Pulse, RR, BP, metabolic rate, Temperature (decrease/ increase)

Skeletal Muscle tone, Deep Tendon Reflexes (decrease / increase)

A

Pulse, RR, BP, metabolic rate, Temperature: increase

Skeletal Muscle tone, Deep Tendon Reflexes: decrease

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4
Q

Dreams happen during which stage of sleep.

Dreams are important for learning, memory, & adaption to stress

A

Both

NREM & REM

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5
Q

In general does sleep needs (Decrease/ Increase) with age

A

Decrease throughout life span

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6
Q

Developmental Pattern of Sleep

16hrs

A

Newborns and infants

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7
Q

Developmental Pattern of Sleep

11 - 14

A

Toddlers

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8
Q

Developmental Pattern of Sleep

10 - 13

A

Preschoolers

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9
Q

Developmental Pattern of Sleep

9- 12 hours

A

School aged children

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10
Q

Developmental Pattern of Sleep

Varies widely

8 - 10 hrs

A

Teenagers

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11
Q

Developmental Pattern of Sleep

7 - 9 hrs

A

Young adults

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12
Q

Developmental Pattern of Sleep

Sleep decreases with a decline in stage IV sleep

A

Middle-aged adults

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13
Q

GERD
Epilepsy
Liver failure amd Encephalopathy
Hypothyroidism
End-stage renal disease

All of this effect on sleep

A

Disturbance

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14
Q

Benzodiazepines
Antidepressants
Diuretics
Antihypertensive
Steroids
Decongestants
Caffeine
Asthma meds

Have this in common with sleep

A

Interfer with sleep process

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15
Q

% of Americans who complain of insomnia

A

30 - 35%

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16
Q

OSA- Obstructive Sleep Apnea
Apnea
Diminished breathing efforts (hypopnea)

How does it happen

A

Muscles of upper airway
Occulde the airway

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17
Q

Parasomnias…

A

An abnormal disruption of sleep, such as sleep walking, sleep talking, nightmares, or nighttime seizures

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18
Q

Somnambulism

A

Sleepwalking (somnambulism) most often occurs during deep, non-REM sleep (called N3 sleep) early in the night

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19
Q

REM sleep behavior disorder (RBD)

A

a parasomnia characterized by dream-enactment behaviors that emerge during a loss of REM sleep atonia.

RBD dream enactment ranges in severity from benign hand gestures to violent thrashing, punching, and kicking

20
Q

Difference in the Parasomnias

Sleep terrors vs nightmare disorder

A

Degree of fear: during a night terror, a sufferer will appear terrified. Nightmares, although upsetting provoke less intense fear.

21
Q

Aka Willis-Ekbom disease (WED) affects 15 % population and Most often Middle Age & Older Adults

Risk Factors:
Antidepressants & Antinausea meds
Caffeine & alcohol
____ deficiency

A

Restlessness Leg Syndrome

Iron deficiency

22
Q

Massaging Legs & doing knee bends , gentle stretching are Contradicted for Restless Legs Syndrome

True or False

A

False

Massaging Legs & doing knee bends , gentle stretching are GOOD for Relieving RLS

23
Q

Causes of Idiopathic Hypersomia

A

Brain abnormalities
Low-grade infection

24
Q

For an adult ___ or more hours of sleep is too much

A

10

25
Q

A deficiency in Hypocretin causes this sleep related disease

A

Narcolepsy

26
Q

Cataplexy..

A

Loss of muscle tone while a person is awake leads to weakness and a loss of voluntary muscle control.

Often triggered by sudden, strong emotions such as laughter, fear, anger, stress, or excitement.

27
Q

Hypnagogic hallucinations are….

A

imaginary images or sensations that seem real and occur as a person is falling asleep.

28
Q

The main symptom that occurs in type 1 narcolepsy and not in type 2 is…

A

Cataplexy

29
Q

Sleep drunkenness, or prolonged sleep inertia..

A

groggy transitional state you experience between sleep and wakefulness

30
Q

Sleep drunk drunkness is the deferential symptom of this excessive sleeping disorder

A

Idiopathic Hypersomia

31
Q

Polysomnography

A

Overnight Sleep Study

32
Q

This test Shows how quickly a person enters REM

&

Monitors how quickly a person falls asleep when napping

A

Multiple Sleep Latency Test

33
Q

Multiple Sleep Latency Test

If a person falls asleep in under 8 minutes even after sleeping through the night (Negative/ Positive)

A

If a person falls asleep in under 8 minutes even after sleeping through the night : Positive

34
Q

Purpose of a sleep diary

A

Writing down sleep and wake times

35
Q

Restlessness
Sleep postures
Sleep activities
Snoring
Leg Jerking

A

Sleep characteristics to assess

36
Q

(Dyssomnia / Parasomnia) sleep disorders cause abnormal activities during sleep, such as sleep terrors or sleep walking.

( Dyssomnia / Parasomnia) sleep disorders cause trouble falling asleep or staying asleep. Perhaps the most well known is obstructive sleep apnea.

A

Parasomnia = abnormal activities during sleep (sleep terrors / sleep walking)

Dyssomnia = trouble falling or staying asleep (Apnea)

37
Q

Zaleplon
Eszopiclone
Zolpidem tartrate

Indicaciones: difficult with sleep onset and maintenance

SE: Somnolence, cognitive impairment, anterograde amnesia, parasomnias

(Benzodiazepine receptor agonist / Selective Melatonin Receptor Agonist)

A

Benzodiazepine receptor agonist

38
Q

Ramelteon

Indicaciones: facilitates the onset of sleep, but is not intended for sleep maintenance

(Benzodiazepine receptor agonist / Selective Melatonin Receptor Agonist)

A

Selective Melatonin Receptor Agonist

39
Q

Anxiolytics (anti anxiety)
Antidepressants
Antipsychotics
Antihypertensive

Are off lable uses to help sleep

True or false

A

True

40
Q

[Part of the brain] involved in Sedation and not feeling pain during surgery

A

RAS

41
Q

NREM (Sympathetic/ Parasympathetic)

REM (Sympathetic/ Parasympathetic)

A

NREM Parasympathetic
REM Sympathetic

42
Q

Which age group teaching is concerned with Structures Routine & Safety (Climbers)

A

Toddlers

43
Q

Which stage of sleep do middle age adults have less & older miss causing them to not enter REM sleep

A

NREM stage IV

44
Q

Foods with most Tryptophan

A

Spurlina, Cod, Soybeans, Parmesan, then Turkey

45
Q

(Bipap / Cpap) machine uses positive pressure to allow air to enter the lungs.

(Bipap / Cpap) machine uses positive pressure to allow air to enter and exit the lungs.

A

Cpap machine uses positive pressure to allow air to enter the lungs.

Bipap machine uses positive pressure to allow air to enter and exit the lungs.

NURS 1255 (13 decks)

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