sleep Flashcards

1
Q

sleep is vital for

A

cognitive, psychosocial, and physiological function

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2
Q

what type of sleep has three stages that you spend the most time in?

A

NREM

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3
Q

what does RAS mean

A

reticular activating system

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4
Q

in what stage of sleep is RAS inhibited?

A

NREM

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5
Q

what regions of the brain are active during REM

A

learning, thinking and organizing

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6
Q

what is being released in NREM?

A

growth hormones and restoration of energy

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7
Q
when do you go to sleep?
when do you wake up?
do you take naps?
problems staying awake during the day?
any problems with sleep?
snoring?
prescribed, o/c or herbal meds for sleep?
A

questions to ask for sleep history

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8
Q

when should you not assess a sleep history?

A

on the critical ill

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9
Q

what questions should be considered for long term care?

A

room temp, lighting and bedtime routine

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10
Q

why is health history used for sleep?

A

to rule out mental or psychosocial problems that may be affected to sleep

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11
Q

enlarged and reddened soft palate and uvula, enlarged tonsils and adnoids, deviated septum and large neck are all signs of what?

A

sleep apnea

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12
Q

what does the EEG test

A

brain waves

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13
Q

what does the EMG test

A

jaw and the structure

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14
Q

what does the EOG test

A

eye movement

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15
Q

what does a sleep diary consist of

A

bedtime process
meds and caffeine
remaining awake/staying asleep problems

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16
Q
illness
environment
lifestyle
emotional stress
stim and alcohol
diet
smoking
motivation
medications
are all factors of...
A

sleep

17
Q

what are some factors of environment and sleep?

A
noise
temp
ventilation
light
comfort
bed
partner
unfamiliarity
18
Q
inability to fall asleep
inability to stay asleep
waking up frequently
difficulty returning to sleep
waking up too early in the AM
unrefreshing sleep
daytime sleepiness
difficulty concentrating
irritability
acute, chronic and intermittent
A

insomnia

19
Q

sufficient sleep with daytime sleepiness

caused by CNS damage and kidney, liver metabolic disorders such as diabetes and hyperthyroidism

A

hypersomnia

20
Q

excessive daily sleepiness
due to the lack of hypocretin
sleep attacks
reg sleep begins with REM

A

narcolepsy

21
Q

what are parasomnias?

A

bruxism
enuresis
periodic limb movement
sleep walking and talking

22
Q

what is bruxism

A

teeth grinding

23
Q

what is enuresis

A

bed wetting

24
Q

what are some changes in sleep of the older adult?

A
earlier bed time and wake time
more disturbed sleep
harder time falling asleep
diminished REM
flattened circadian
sundown syndrom
25
Q

what is sundown syndrome

A

aggressive, anxious, and agitated behavior in late afternoon in dementia patients