Sleep: Taylor Flashcards
Sleep is controled by these 2 systems in the brain
RAS & Bulbar synchronizing region
During NREM & REM describe the changes in Vital Signs
NREM decrease
REM increases (muscle tone decreases)
Sleep architecture…
Describes the alternating cycles of NREM & REM cycles
4 to 5 each night
Lack of sleep lowers (leptin/ ghrelin) & increases (letting/ ghrelin)
Lower Leptin (Stop eat hormone)
Increase Ghrelin (Eat more hormone)
Older people have a(n) (easier/harder) time falling asleep.
Harder
Wake more often and early too
Excessive exercise & exhaustion can help one get good sleep
True / False
False.
It will hurt their ability to sleep
A snack containing L-tryptophan and carbs will help get a good sleep
True or False
True
Do alcoholic beverages in moderation help induce sleep
Yes.
In excess bad
Not during the night time
Which sleep cycle does alcohol interfer with?
When should alcohol be consumed for best sleep
Delta / REM
DONT DRINK IN EVENING
What causes sleep apnea
Throat muscles relaxing occulding the airway
Cataplexy (Sudden involuntary loss of skeletal muscle control) is often seen in this condition
narcolepsy
When does narcolepsy usually occur
Late teenager early adults
Narcolepsy patients have lower _____ levels
Hypocretin (Causes Alertness & Wakefulness)
Shift work disorder & Jet lag are examples of this type of disorder
Circadian rhythm sleep-wake disorders
More commonly seen in children these Patterns of waking behaviors that appear during REM & NREM
Are called
Parasomnias
Sitting up in bed or walking around
“Acting Out” moaning & Thrashing
Waking up screaming. May appear awake
Name them
Sonambulism
Sitting up in bed or walking around
REM Sleep behavior disorder
“Acting Out” moaning & Thrashing
Sleep Terror
Waking up screaming. May appear awake
The test is a list of eight situations in which you rate your tendency to become sleepy on a scale of 0, no chance of dozing, to 3, high chance of dozing.
19-item, self-rated questionnaire designed to measure sleep quality and disturbance over the past month in clinical populations.
(Epworth Sleepiness Scale / Pittsburgh Sleep Quality Index)
8 Questions Epworth Sleepiness Scale
19 Questions Pittsburgh Sleep Quality Index
Is it appropriate to keep a room cool and provide ear plugs (if acceptable) to help patients sleep
Yes
Sleep hygine is…
Non pharmacological recommendations to get a better sleep
Sleep restriction is …
Limiting time in bed to actual sleep time
Which statement accurately describes sleep variations.
A. REM sleep constitutes much of the sleep cycle of a preschool child
B. By the age of 8, most children no longer take naps
C. Sleep needs usually decrease when physical growth stops
D. Many adolescentes do not get enough sleep
E. Total sleep decreases in adults with a decrease in stage IV sleep
F. Sleep is less sound in older adults and stage IV maybe absent
D. Many adolescentes do not get enough sleep
E. Total sleep decreases in adults with a decrease in stage IV sleep
F. Sleep is less sound in older adults and stage IV maybe absent
REM constitutes much of the sleep cycle of young infant
Which have a high chance for sleep disturbances
A. Hypothyroidism
B. CAD
C. GERD
D. HIV
E. Corticosteroids
F. UTI
A. Hypothyroidism
B. CAD
C. GERD
Which medication can affect sleep
A. Iron
B. Dopamine
C. Diuretics
D. Antibiotics
E. Antidepressants
F. Aspirin
Dopamine
Diuretics
Antidepressants
Pediatric patients with OSA should have a polysonography to confirm diagnosis
What does OSA & polysonography mean?
OSA Obstructive sleep apnea
Polysomnography, also known as a sleep study
Records Brain waves, Blood oxygen levels, Heart rate, Breathing, Eye movements, Leg movements
while you sleep. It can help diagnose sleep disorders
Which are present in a sleep diary
A. Daily mental activities
B. Daily physical activities
C. Morning & Evening body temperature
D. Is & Os
E. Presence of anxiety and worries affecting sleep
F. Morning & Evening BP reading.
A. Daily mental activities
B. Daily physical activities
E. Presence of anxiety and worries affecting slee
Which are appropriate nursing interventions for a person with Distributed Sleep Pattern
A. Arrange assessment for depression & treatment
B. Discourage napping during day
C. Decrease fluids in Evening
D. Administer diuretics in AM
E. Encourage physical activity
F. Assess medication for side effects
A. Arrange assessment for depression & treatment
B. Discourage napping during day
E. Encourage physical activity
F. Assess medication for side effects
Which will help promote sleep
A. Light dimmed during day
B. Room cool
C. Keep door open at night
D. Offer sleep meds on regular basic
Room Cool
Risk factors associated with RLS / Willis -Ekbom disease
Peripheral neuropathy
Iron deficiency.
Kidney failure.
Spinal cord injuries
Parkinson disease
Risk factors for RLS
Antidepressants
Caffeine
Iron deficiency
Smoking
4 main symptoms of Narcolepsy
Daytime Sleepiness
Cataplexy (Loss of voluntary)
Hallucinations
Sleep paralysis
