Sleep Flashcards
What is consciousness?
A state of self-awareness, perception,
ability to respond to stimuli, ability to act with
judgement
What is ‘sleep’?
is a state of changed consciousness from which
a person can be aroused by stimulation, alternating in
a 24-hour cycle (circadian rhythm) with wakefulness
• Sleep is a physiological state
What is ‘coma’?
A state of profound unconsciousness
characterised by inability to sense and respond to
external stimuli and loss of sleep-wake-cycle
What assessment tool do we use to determine level of consciousness?
Glasgow Scale
What are the causes of coma? How long does it last?
Causes: Intoxication, acute neurologic injuries, metabolic
disorders, CNS infection, stroke, hypoxia
Duration: Generally few days to few weeks (2 - 5 weeks). Some
patients progress to a vegetative state or die.
What is a ‘persistant vegetative state’?
A state of unconsiousness in patients with severe brain injury.
Frequently observed in patients in whom coma has progressed to a
certain state of wakefulness (e.g. sleep-wake cycles, open eyes)
without detectable awareness (unresponsive to external stimuli
except possibly pain)
What is ‘brain death ‘?
Irreversible coma, characterised by lack of brain activity. Loss of
pain responses and cranial nerve reflexes (pupillary response
(fixed pupils), corneal reflex), loss of spontaneous respiration.
what are four types of biologcial rhythms?
•Circannual rhythm
•Infradian rhtyhms
Menstrual cycle
•Circadian rhythms
Sleep/wakefulness cycles
Hormone secretion (e.g. cortisol)
Body temperature
- Circannual rhythm
- Infradian rhtyhms
Menstrual cycle
•Circadian rhythms
Sleep/wakefulness cycles
Hormone secretion (e.g. cortisol)
Body temperature
•Ultradian rhythmys
REM/NREM cycles
where is Melatonin produced?
in the Pineal Gland in the brain - helps to induce sleep - higher production in winter when nights are longer, brain uses the duration of melatonin secretion to adjust to seasonal variations/travel
what are the stages of sleep?
Slow Wave Sleep (NREM) = stages 1,2,3,4 - autonomic stability HR BP and temperature fall
Rapid Eey movement (REM)= autonomic instability HR, BP and Temp vary- recall dreaming
90 min. cycles - repeated 5-6 times per night
What does an EEG record?
Changes in frequency
- Changes in amplitude
- Changes in synchronisation
What tool measures eye movements?
Eye movements
- Electroculograph (EOG)
what is the difference in EEG reading between awake with eyes open and awake with eyes closed?
Describe the first stage of sleep
Light sleep, lasts for a few minutes
- Easily awakened
- Slow eye movements (rolling)
- Muscle activity slows down
- EEG: Theta waves (high amplitude, low frequency)
Occasional a waves
Describe the second stage of sleep