Week 9 Basic Need Sleep Flashcards
Class of drug that cuases insensibility to pain and induces sleep
Hypnotic
A state of mental, physical, and spiritual activity that leaves the individual feeling refreshed, rejuvenated, and ready to resume activities of the day
Rest
Medication that produces a calming effect by becreasing functional activity, diminishing irritability and allaying excitement
Sedative
State marked by reduced consiousness, diminished activity of the skeletal muscles and depressed metabolism
Sleep
A state of strong desire to sleep, or sleeping for unsually long periods
Somnolence
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
Stage 1 NREM
Stage lasts 10 to 20 minutes It is a peroid of sound sleep Relaxation progresses Body functions continue to slow Arousal remains relatively easy
Stage two NREM
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
Stage 3 NREM
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
Stage 4 NREM
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
REM
State the function of sleep
Physiological and psychological restoration
Maintenance of biological process
The body conserves energy
Important for learning, memory and adaptation to stress
Changes that occur in sleep patern in neonates
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
Changes that occur in sleep patern in infants
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
Changes that occur in sleep patern in toddlers
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
Changes that occur in sleep patern in preschoolers
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