Insomnia v Narcolepsy + tx

Question 1

What assessment is used for diagnosing COSA?

Answer 1

Polysomnography
- Measures brain waves, eye movement, HR/rhythm, SPO2

Question 2

What assessment is used to assess the anatomy of the upper airway?

Answer 2

Mallampati score
C1: everything visible
C2: mostly visible
C3: soft palate and only base of uvula visible
C4: soft palate is not visible

Question 3

Difficulty falling or staying asleep. Leads to daytime fatigue, irritability, poor concentration, and impaired functioning.

Answer 3

Insomnia

Question 4

Neurological sleep disorder that affects the brain’s ability to regulate sleep-wake cycles causing excessive daytime sleepiness and sudden episodes of sleep, even during periods of activity.

Answer 4

Narcolepsy

Question 5

Sudden loss of muscle tone triggered by emotions

Answer 5

Cataplexy

Question 6

Interventions associated with narcolepsy?

Answer 6

• Scheduled naps
• Stim meds
• safety education

Question 7

Continuous positive airway pressure device:

Answer 7

CPAP used to treat COSA apnea

Question 8

How does CPAP work?

Answer 8

Keeps the airway open during sleep through constant airflow

Question 9

What should the nurse monitor in a patient using CPAP?

Answer 9

• Skin breakdown
• Dryness
• Congestion
• Discomfort
• Sleep score