Week 9 Basic Need Sleep Flashcards

1
Q

Class of drug that cuases insensibility to pain and induces sleep

A

Hypnotic

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2
Q

A state of mental, physical, and spiritual activity that leaves the individual feeling refreshed, rejuvenated, and ready to resume activities of the day

A

Rest

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3
Q

Medication that produces a calming effect by becreasing functional activity, diminishing irritability and allaying excitement

A

Sedative

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4
Q

State marked by reduced consiousness, diminished activity of the skeletal muscles and depressed metabolism

A

Sleep

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5
Q

A state of strong desire to sleep, or sleeping for unsually long periods

A

Somnolence

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6
Q

Stage lasts a few minutes
It includes lights level of sleep
Decreased physiological activity begins with gradual fall in vital signs and metabolism
When awakened person feels as if day dreaming occurred

A

Stage 1 NREM

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7
Q
Stage lasts 10 to 20 minutes 
It is a peroid of sound sleep
Relaxation progresses 
Body functions continue to slow
Arousal remains relatively easy
A

Stage two NREM

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8
Q
Stage lasts 15-30 minutes 
Initial stages of deep sleep
Muscles are completely relaxed 
Vital signs decline but remain regular 
Sleeper is difficult to arouse and rarely moves
A

Stage 3 NREM

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9
Q

Stage lasts approximately 15-30 minutes
Is it the deepest stage of sleep
Is sleep loss has occurred, sleeper spends considerable part of night in this stage
Vital signs are significantly lower than during waking hours
Sleep walking or enuresis sometimes occur
It is very difficult to arouse sleeper

A

Stage 4 NREM

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10
Q

Occurs after stage four
Usually begins about 90 minutes after sleep has begun
Duration increases with each sleep cycle and averages 20 minutes
Vivid full color dreaming occurs
Stage is typified by rapid moving eyes
Fluctuating heart rate, respiratory rate, BP, loss of skeletal muscle tone, increased gastric secretions
Very difficult to arouse sleeper

A

REM

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11
Q

State the function of sleep

A

Physiological and psychological restoration
Maintenance of biological process
The body conserves energy
Important for learning, memory and adaptation to stress

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12
Q

Changes that occur in sleep patern in neonates

A

Up to age of 3 months neonates average about 16 hours of sleep each day

Sleep cycle 40-50 minutes

Approximately 50% of this sleep is REM which stimulates higher brain centers essential for development because the neonate is not awake long enough for significant external stimulation

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13
Q

Changes that occur in sleep patern in infants

A

Usually develope a patern of sleeping through the night by 3 months

Usually take several naps during the day
8-10 hours during night plus naps = 15 hours

Awakening commonly occurs early in the morning although it is not uncommon for an infant to awake during the night

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14
Q

Changes that occur in sleep patern in toddlers

A

By the age of 2 children typically sleep through the night and take daily naps

Total sleep averages 12 hours q day

After age of 3 children often give up daytime naps

Common to awaken during the night

May be resistant to going to bed at night because they need autonomy or separation anxiety

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15
Q

Changes that occur in sleep patern in preschoolers

A

Sleep about 12 hours q night
By the age of 5 children rarely take daytime naps
May have difficulty relaxing after a long active day, bedtime fears, awaken at night or have nightmares
Partial awakening frequent
In awake period child crys, walks around, and speaks unintelligibly, sleep walking, enuresis

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16
Q

Changes that occur in sleep patern in adolescents

A

On average teens get 7 hours of sleep or less

Alcohol use, electronics, mood changes etc

17
Q

Changes that occur in sleep patern in young adults

A

Average 6 to 8 1/2 hours of sleep q day
Common for
Stresses lead to sleep loss and medication use
Pregnancy increases need for sleep and rest

18
Q

Changes that occur in sleep patern in middle adulthood

A

Total time spent sleeping at night declines
Insomnia is common
Anxiety depression or physical illness cuase sleep disturbances
Menopause may cause insomnia

19
Q

Changes that occur in sleep patern in older adults

A

Sleeping difficulties increase
Experience wakening, desychronized cercadian rythm that alter sleep wake cycle
Awaken more at night and take longer to fall asleep
Tendency to nap increases
Presence of chronic illness often results in sleep disturbances

20
Q

What are several common sleep disorders

A
Insomnia
Narcolepsy
Sleep apnea 
Hypersomnia
Parasomnia
21
Q

Veriety of sleep problems, night terrors, sleep walking

A

Parasomnia

22
Q

Fall asleep at random doing any activity

A

Narcolepsy

23
Q

Fall asleep very easily

A

Hypersomnia

24
Q

Difficulty falling asleep of waking frequently

A

Insomnia

25
Q

Airway closes periodically during sleep

A

Sleep apnea

26
Q

Indentify essential data to be collected when preforming a nursing history of a pt. With basic need for sleep

A
Description of sleeping problem 
Usual sleep patern 
Physical and psychological illness 
Current life events 
Emotional and mental status 
Bedtime routines
Bedtime environment
Behaviors of sleep deprivation
27
Q

Assessment finding of sleep deprivation

A
Causes include illness 
Emotional distress
Medications
Environment disturbances
Work pressure
Physiological symtoms:
Blurred vision, fine motor clumsiness, decreased reflexes, slowed response time, decreased reasoning and judgement, decreased auditory and visual alertness, cardiac arrhythmias

Psychological symptoms: confused and disoriented, increased sensitivity to pain, irritability- withdrawn, apethetic, agitation, hyperactive, decreased motivation, excessive sleepiness

28
Q

Saftey measures for sleep in a health care setting

A

Monitor airway RR
And breath sounds should be monitored post op
Recommend lifestyle changes to patients with OSA ( sleep hygiene, alcohol moderation, smoking cessation, weight loss)
CPAP for patients with OSA delivers room air at high pressure

29
Q

Identify health promotion behavoirs in relation to rest and sleep

A
Environment controls
Promotion of safety
Promotion of comfort 
Established periods of rest and sleep
Stress reduction
Bedtime snacks
Pharmacological approaches
30
Q

Trade name for zolpidem

A

Ambien

31
Q

Side effects of zolpidem/ Ambien

A

Abnormal thinking, sleep driving and sleep eating, confusion, complex sleep related reactions, irritability, poor coordination

32
Q

Nursing implications

A

Teach that there are complex sleep related behaviors

Asses impaired coordination, suicidal thoughts,

Severe adverse effects, angioedema, anaphylaxis

33
Q

Use for abien/ zolpidem

A

Insomnia

34
Q

Which sleep cycle has to do with tissue restoration and which sleep period has to do more with cognitive restoration

A

Nrem- tissue restoration

REM.- cognitive restoration