Norton Flashcards
(33 cards)
What must you have for insomnia
- problem initiating or maintaining sleep
- cannot sleep with adequate circumstances
- Daytime complaints
How can you diagnose chronic insomnia disorder
Type 1
> 3x weeks for >3 months
How can you diagnose short term insomnia disorder
Type 2
< 3 months
usually has an identifiable stressor
What type of breathing do you see in central sleep apnea?
no attempt to breathe
What type of breathing do you see in obstructive sleep apnea?
decrease in airflow with attempted breathing
What breathing pattern do you see in central sleep apnea
Cheyene-Stokes
Risk factors for central sleep apnea
old men
heart failure
opioid use
What do you see in central sleep apnea
paroxysmal nocturnal dyspnea
nocturnal angina
daytime sleepiness
What do you see in obstructive sleep apnea
SNORING
large neck
daytime sleepiness
What is required for obstructive sleep apnea
hypertension
snoring
choking/gasping
daytime sleepiness
How do you diagnose Central sleep apnea
Polysmnography
What does EEG do
sleep stage
What does EOG do
eye movement (REM)
What does EMG do
monitors atonia
Treatment for Obstructive sleep apnea
CPAP
What do you see in narcolepsy on a molecular level
decreased orexin A and B from lateral hypothalamus
What does orexin do
stabalizes wake state
normally inhibits inappropriate REM while awake
What is seen in CSF of narcoleptic patients
Missing orexin A
What is seen in narcoleptic patients symptom wise
Tetrad
-Daytime sleepiness
- sleep paralysis
- Cataplexy (triggered by strong emotion)
- Hallucinations (hypnagogic-while falling asleep)
When do people with narcolepsy enter REM
earlier than normal people
what test do you do for narcolepsy
Polysomnography
Multiple sleep latency test
Criteria for narcolepsy
MSLT with sleep latency <8 min and 2 SOREMPs
Shift work disorder issue and treatment
-difficulty sleeping past noon
- maintain daily sleep routine
- switch shifts
who usually has non 24hr sleep wake rhythm disorder
blind people
