Flashcards in First Aid: Sleep Disorders Deck (60)
What does elevated DA or NE do to sleep?
Decrease total sleep time
What does elevated Ach do to sleep?
increases total sleep time
increase proportion of REM sleep
What does elevated 5-HT do to sleep?
-increases total sleep time
-increased proportion of delta wave sleep
What is a primary sleep disorder?
NOT due to another medical condition or substance use
What is a secondary sleep disorder?
due to another medical condition or substance use
What is the word for disturbances in the amount, quality, or timing of sleep?
What is the word for abnormal events in behavior or physiology during sleep?
What percent of sleep is REM?
What type of EEG wave is seen in those with eyes closed and person awake?
alpha waves (only in 88% of people)
What EEG changes are seen in stage 1 sleep?
loss of alpha waves
What EEG changes are seen in stage 2 sleep?
What EEG changes are seen in stage 3-4 sleep?
delta waves (low frequence)
What is the most restorative stage of sleep?
3-4 (deep sleep)
What EEG changes are seen in REM sleep?
-Rapid eye movement
How long do REM cycles last?
When do REM cycles occur?
every 90 mintues
What occurs during REM sleep?
lack of motor tone
What happens to REM sleep as you age?
REM sleep decreases
What is REM rebound?
increase in amount of REM sleep that occurs after a night of sleep deprivation
When evaluating insomnia, what should you always ask?
daily caffeine intake
What is the diagnostic criteria for primary insomnia?
-Difficulty initiating or maintaining sleep
-Daytime drowsiness or difficulty fulfilling tasks
-Disturbance occurs 3 or more times per week for at least 1 month
What percent of the population has primary insomnia?
What tends to exacerbate primary insomnia?
preoccupation with getting enough sleep
What drugs can be used to treat primary insomnia?
What is the diagnostic criteria for primary hypersomnia?
-At least 1 month of excessive daytime sleepiness or excessive sleep not attributable to medical condition (narcolepsy), medications, poor sleep hygiene, or insufficient sleep
When does primary hypersomnia typically start?
What is the treatment for hypersomnia?
-Stimulant drugs (amphetamines)
What is the criteria for diagnosing narcolepsy?
Repeated, sudden attacks of sleep in the daytime for at least 3 months, associated with:
-Cataplexy (in 70% of patients) associated with emotion like laughter
-Short REM latency
-Sleep paralysis (50% of patients)
-Hypnagogic (as you GO to sleep) or hypnopompic (as you POP up from bed) hallucinations
When does narcolepsy usually begin?
childhood or adolescence