normal sleep cycle Flashcards

1
Q

what are the stages of sleep and how long do we approximately spend in each?

A

stage 1 ( 6%)
stage 2 ( 49%)
stage 3 and 4 ( 23%)
REM ( 22%)

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2
Q

how long do we typically cycle through a sleep cycle?

A

~90 minutes

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3
Q

what happens to REM as we we progress in our sleep?

A

time spent in REM increases as the hours of sleep progress

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4
Q

which stage of sleep lessens ( i.e. the amount of time spent in that stage) as the hours of sleep progress?

A

stage 4

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5
Q

what are the light stages of sleep and what are the deep sleep stages?

A

light sleep stages: 1 and 2

deep sleep stages are: 3 and 4

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6
Q

what does brain activity look like in the REM cycle?

A

it looks like we are awake

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7
Q

*** what types of waves on EEG are associated w/ alertness?

A

low voltage, fast, random activity high frequency BETA waves ( 15-40 cps)

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8
Q

***what types of waves EEG are associated w/ being awake but drowsy/relaxed?

A

low voltage, fast, random activity high frequency ALPHA waves ( 8-13 cps)

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9
Q

*** what types of waves on EEG are associated w/ stage 1 sleep ( the lightest sleep)?

A

low voltage, high frequency, THETA waves ( 3-7 cps)

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10
Q

*** what types of waves on EEG are associated w/ stage 2 sleep ( the light sleep)?

A

SLEEP SPINDLES AND K COMPLEXES

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11
Q

*** what types of waves on EEG are associated w/ stage 3 sleep ( deep sleep)?

A

< 50% DELTA waves

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12
Q

*** what types of waves on EEG are associated w/ stage 4 sleep ( deepest sleep)?

A

> 50 % DELTA waves

parasympathetic control, lowered vital signs, restorative sleep

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13
Q

*** what types of waves on EEG are associated w/ REM?

A

low, voltage, high frequency, random, fast waves w/ SAWTOOTH waves

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14
Q

what is the reason for the brain being more awake in REM?

A

the increase in sympathetic tone dominating

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15
Q

what actions occur during REM?

A

eye movements, erections, dreams, and paralysis

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16
Q

what are dreams?

A

unconscious thoughts, drives, wishes,
consolidation of memory rom the day
removing unwanted memory from the day

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17
Q

what stages of sleep decrease in the elderly and which increase?

A

stages 3 and 4 decrease in the elderly and stages 1 and 2 increase in the elderly

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18
Q

sleep length generally decreases until what age and then maintains a generally stable length?

A

20 years old

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19
Q

what is the signal to go to sleep?

A

melatonin

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20
Q

where and when and why is melatonin produced?

A

in the pineal gland at night because there is a loss of light which induced neuronal firing in the retinohypothalmic tract which helps lower brain activation and arousal

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21
Q

what does melatonin do to sympathetic drive?

A

it lowers sympathetic drive

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22
Q

when does cortisol peak and why is this important?

A

it peaks in the morning ( around 4-5) and this is important because it is the signal to wake up and it links the hypothalamic-pituitary-adrenal cortex to the circadian system

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23
Q

which 6 neurotransmitters result in more wakefulness ( more of them = more wakefulness and less of them = more asleep)

A

acetylcholine, glutamate,

monoamines: norepinephrine, dopamine, serotonin, histamine

24
Q

how do neurotransmitters that result in more wakefulness act on the brain?

A

directly in certain areas and modulate other transmitters’ effects as well as allowing amplification of arousal signals.

25
the basal forebrain releases what neurotransmitter and what it this driving?
Ach, this drives person to be awake or in REM
26
The basal forebrain is active during?
wakefulness and REM
27
Besides Ach what does the basal forebrain release?
GABA which promotes sleep in sleep centers
28
the laterodorsal and pedunculopontine tegmental nuclei are more likely to be active during?
wakefulness and REM
29
how is wakefulness most robustly promoted?
via projections to the thalamus
30
Ach from what two main centers activate the brain to keep ppl awake at appropriate times?
the pontine nuclei: lateral dorsal and pedunculopontien tegmental nuclei and the basal forebrain
31
related to sleep why would someone be given norepinephrine?
to increase wakefuleness
32
what does the locus coreleus do?
release norepi
33
insomnia or anxiety at night could be due to ?
too much norepi firing
34
what is norepi inhibited by in the feedback loop?
alpha 1 and 2 receptors in the feedback loop
35
in relation to sleep what can blood pressure medications be used for?
to lessen nightmares and anxiety
36
*** what does stimulation of H1 receptors do?
leads to wakefulness
37
what do h3 autoreceptors do?
inhibit histamine activity thus blocking H3 receptors therefore promoting wakefulness.
38
***you can be awake by stimulating which histamine receptor and blocking which histamine receptor?
you can be awake by stimulating the H1 receptor and by blocking the H3 receptor
39
what does the tuberomammilary nucleus in the posterior hypothalamus do?
secrete histamine
40
serotonin can increase or decrease sleep depending on sensitivity for receptors but what does it generally do?
serotonin generally increases wakefulness and inhibits REM
41
***what does the 5HT7 receptor do?
it is the circadian clock gene i promotes and corrects circadian rhythms (it comes from the raphe nucleus)
42
what is dopamine associated w/ ?
movement( release from substantia nigra) and reward ( release from ventral tegmental area) ( sex, drugs, rock and roll)
43
ppl who are tired or have ADHD have how much dopamine?
low dopamine
44
the ventral periaqueductal gray in the pons fires during?
wakefulness and is associated with dopamine
45
what type of arousal does dopamine provide in comparison to norepi?
dopamine provides motivational arousal whereas norepi provides task oriented alertness
46
how is orexin/hypocretin like a back up generator?
it is not a part of the reticular activating system and therefore keeps other systems going and increases wakefulness if other systems fail.
47
when does orexin/hypocretin fire?
only when you are awake
48
where do the stage 2 sleep spindles probably come from?
the thalamus
49
the thalamus uses glutamate to promote ?
wakefulness
50
the thalmus uses GABA to ?
decrease wakefulness and promote sleep
51
what is the master switch in the anatomy of being awake?
the suprachiasmatic nucleus
52
what does the reticular activating system include?
ach, serotonin, norepi, dopamine
53
what does the reticular activating system do?
drives us to be awake when turned up high or towards fatigue if low.
54
can the reticular activating system be manipulated?
yes
55
for PTSD pts what is the level the reticular activating system is likely to be at?
> 120% ( towards wakefulness)
56
**** what happens if you don't have the orexin/hypocretin?
narcolepsy