insomnia Flashcards Preview

behavioral unit 3 > insomnia > Flashcards

Flashcards in insomnia Deck (20):
1

what percentage of the pop is affected by insomnia

30%

2

dyssomnia

sleep disorder characterized by problems in timing, quality or amount of sleep

3

parasomnia

sleep disorder characterized by abnormalities in the physiology of sleep or behavior associated with sleep, such as abnormal movements

4

insomnia

complaint of dissatisfaction with quantity or quality of sleep with at least one of the following: difficulty initiating, maintaining sleep. early awakening with the inability to go back to sleep. it must cause distress or impairment.

5

how many nights per week and time length for diagnosis of insomnia

3 nights per week, for 3 months.

6

does prevalence of insomnia increase with age?

yes

7

what percentage do women report over men>

50%

8

describe substance abuse links to insomnia

a majority of alcoholics report sleep disturbances before addiction.

9

first step in management

proper diagnosis

10

second step in management

behavioral counseling: sleep hygiene and stimulus control. need to reestablish circadian rhythm

11

management 3

sleep restriction therapy, cognitive therapy, thinking through, imagery, daily logs, progressive relaxation, self-hyponosis.

12

management 4

step-wise psychopharma

13

first step in the pharmacology of sleep?

OTC: melatonin, antihistamines

14

second step in sleep pharm

Rx, non habit forming: antihistamines, melatonin 1+2 therapy. ramelteon and transmelteon.

15

step 3 in sleep pharma.

Rx agents that are mild-habit forming. benzodiazepines, Orexin antagonists

16

step 4 sleep pharma

Rx habit forming. benzos and off label options, such as trazadone, antidepressant, antipsychotics.

17

what to remember about apnea patients?

DO NOT GIVE SEDATIVES!

18

what to give to patients with restless leg?

D2 agonists.

19

best way to diagnose sleep disturbance

history

20

best first initial treatment for insomnia

educate the patient