Week 3 B Flashcards
If someone has OSA, what sleeping positions can they try?
Side and stomach sleeping
What are ways to deal with narcolepsy?
Eat small meals high in protein
Avoid activities that can cause injury if you fall asleep
What are dyssomnias?
Sleep disorders characterized by disturbances in the amount, quality or timing of sleep
What are some times to obtain a sleep history?
Nature and cause of problem
Related S/S
When the problem began and how often
Affects everyday living
Severity of problem and how it can be treated
How are you coping and what has helped?
What are some screening tools to asses sleep disturbances?
Epworth Sleepiness Scale
Pittsburgh Sleep quality index
Sleep disturbance questionnaire
What is somnambulism?
Sleep walking
What class of meds can cause drowsiness, relax muscles, lessen anxiety, and cause retrograde amnesia?
GABA agonists or benzodiazepines
When should GABA agonists and benzodiazepines be used cautiously in older adults?
If they have decreased liver and kidney function
What kind of glass of drug should not be used long term? Why?
GABA agonist and benzodiazepines because they can cause physical dependence
What are some types of non benzodiazepines?
Zolpidem
Zaleplon
Eszopiclone
(Z-drugs)
What class is the most commonly prescribed sleep meds?
Nonbenzos
Non benzodiazepines can cause what adverse reactions?
Gastric discomfort
Hallucinations
Memory loss
What class of drugs can cause Gastric discomfort, Hallucinations, Memory loss, and in higher doses, stimulation and euphoria?
Non benzodiazepines hypnotics
What kind of sleep drug is recommended for older adults and why?
Controlled release
They are cost effective, non-habit forming, and has few adverse side effects
What are adverse reactions for some OTC medications for sleeping? (5)
Daytime drowsiness,
Dry mouth
Visual disturbance
Difficulty urinating
Constipation
What do barbiturates, amphetamines, anti depressants do to REM sleep?
Decrease it
What drugs increase REM sleep?
Barbiturates
Amphetamines
Antidepressants
What is the nursing process for PN?
Data collection
Planning
Implementation
Evaluation
What are contradictions for hand massage
Burns
Wounds
Anticoagulant meds
Personal preferences
What direction should a hand massage go?
Base of fingers towards the wrists
Wha types of foods can help a person fall asleep?
Carbs
Why does caffeine work to help ADHD patients fall asleep?
They are on stimulants and it can help them reverse the effects of the stimulant
In which part of the brain does the structure transmit sensory date to develop dreams?
Thalamus
What two states can be potential contributing factors of migraines?
Sensory overload and sleep deprivation
