324 - sleep Flashcards

(39 cards)

1
Q

main structure in sleep: basal forebrain

A

releases adenosine, which supports sleep drive

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2
Q

what blocks adenosine

A

caffeine

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3
Q

main structure in sleep: hypothalamus

A

receives information from the eyes regarding light exposure to help determine sleep schedule. Secretes hypocretins which promotes both wakefulness & rapid eye movement (REM sleep)

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4
Q

main structure in sleep: pineal gland

A

secretes melatonin which helps the body regulate a sleep cycle that correlates w/ day and night cycles

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5
Q

main structure in sleep: thalamus

A

relays sensory info to the cerebral cortex for conversion from short to long term memory, this occurs during rem sleep

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6
Q

main structure in sleep: amygdala

A

processes emotion and is most active during REM sleep

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7
Q

main structure in sleep: brain stem

A

communicates transitions between sleep and wake times with the hypothalamus. during sleep (along w/ the hypo) chemicals are produced that reduce arousal centers and send signals to relax muscles keeps body still and asleep

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8
Q

physiological changes w/ adequate sleep

A

-heart rate decreases by 10-20
-respirations decrease
-body temp decreases
-blood pressure decreases
-muscle tone is diminished

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9
Q

psychological changes w/ adequate sleep

A

-harmless discharge of emotion
-building of mental and emotional resilience
-dreaming
-creations of memories
-memory consolidation

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10
Q

physiological changes w/o adequate sleep

A

increased risk of developing diabetes, CVD, obesity, depression, htn, heart attacks

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11
Q

psychological changes w/o adequate sleep

A

-decreased ability to concentrate
-difficulty making decisions
-decreased PA
-increased irritability
-increased risk for developing mental illnesses

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12
Q

what interval does NREM and REM sleep typically alternate in

A

90 minute intervals (3 NREM, 1 REM)

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13
Q

NREM 1

A

-light level
-VS & metabolism slows down
-easy arousal by stimuli
-feeling of drowsiness
-lasts a few minutes
-“resting my eyes”

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14
Q

NERM 2

A

-relaxation increases
-sleep becomes deeper
-snoring can occur
-relatively easy arousal
-physiological functions continue to slow
-small muscle jerks
-10-20 minutes

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15
Q

NERM 3

A
  • deepest stage of sleep (slow or delta wave)
  • difficult arousal
    -muscles relaxed
    -vital signs decrease w/ regular rhythms
  • restorative processes occur (growth hormone released)
    -time spent is based on how long singe last sleep
    -lasts 30-60 mins
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16
Q

REM

A

-vivid, colorful dreaming
-starts approx 90 mins after sleep is initiated
-autonomous response causes rapid eye movements, fluctuating HR & respirations and increase BP
-muscle tone decreases
-gastric secretions increased
-very difficult arousal
-duration of REM sleep increases w/ each sleep cycle and averages 20 mins

17
Q

is NREM or REM sleep essential for survival

18
Q

when can sleep walking occur

19
Q

what functions of the human body are impacted by the circadian rhythm

A

sleep, digestion, body temp, endocrine function

20
Q

what type of snack can promote relaxation before bed

A

complex carbs

21
Q

secondary sleep disorder

A

a sleep disorder resulting from a primary disease process like heart failure, COPD, pain and gastric reflux

22
Q

which symptoms caused by low estrogen may interfere with a women’s sleep

A

night sweats and daytime fatigue

23
Q

benefits of sleep

A

-reduce stress
-reduces inflammation
-boosts immune system
-greater athletic performance
-better productivity & concentration
-prevents depression

24
Q

what suppresses REM sleep

A

-opioids / narcotics
-stimulants
-benzodiazepines
-antidepressants
-alcohol
-smoking

25
Sleep Disorders: insomnia
-most common disorder (esp women and depressed) -experience excessive daytime sleepiness & insufficient sleep quality / quantity - transient insomnia is associated with stress
26
Sleep Disorders: sleep apnea
-a disorder where breathing is repeatedly interrupted -frequent pauses 10secs to 2 minutes -many not diagnosed or treated -types: obstructive, central, mixed
27
complications of sleep apnea
-daytime fatigue -HTN & <3 -DM -metabolic syndrome -comps w/ meds & surgies -liver problems -sleep deprived partners
28
Narcolepsy
-chronic sleep disorder characterized by overwhelming daytime drowsiness & sudden attacks of sleep -difficult to stay awake for long periods -type 1 w/ cataplexy, type 2 w/o - no cure
29
risk factors of narcolepsy
age and family history
30
narcolepsy complications
-public misunderstanding -interference w/ intimate relationships -physical harm -obesity
31
Sleep Disorders: sleep deprivation
-decrease in quality or quantity of sleep and/or inconsistency in sleep -amount of sleep varies for individuals -1 in 5 adults do not get 7-8 hr of sleep per night
32
Sleep Disorders: parasomnias
-more common in children (more serious in adults) -nocturnal enuresis, body rocking, bruxism -confusional arousals -sleep walking -night terrors / nightmares
33
common symptoms of shift work sleep disorders
insomnia, excessive sleepiness, difficulty concentrating, headaches, lack of energy
34
consequences of shift work sleep disorder
increased likelihood of accidents & work related errors, irritability & mood problems, difficulty coping, & impaired social functioning
35
Sleep Disorders: restless leg syndrome
-uncontrollable urge to move legs -moving eases the unpleasant feeling temporarily -can begin at any age but worsens with age
36
symptoms of restless leg syndrome
-unpleasant sensations in legs & feet -relief after movement -worse in the evening -nighttime leg twitching
37
risk factors for restless leg
-peripheral neuropathy -iron deficiency -kidney failure -spinal cord injuries
38
lifestyle changes for restless leg
-baths/massages -warm compress or cool -good sleep habits -exercise -foot wrap
39
sleep history to be obtained
-characteristics of sleep problems -usual sleep patterns -bedtime routines & environment -physical and psychological illness -current life events