Rest & Sleep Flashcards

1
Q

Sleep pattern of newborn

A

Average amount of sleep is 16 hours daily

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2
Q

Sleep pattern of infant

A

Average of 12-15 hours daily

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3
Q

Sleep pattern of preschoolers

A

Average amount 11-13 hours

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4
Q

Sleep pattern of school-aged children

A

Average 10-12 hours

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5
Q

Sleep pattern of teenagers

A

Average 8-10 hours

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6
Q

Sleep pattern of young adults

A

Average 7-9 hours

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7
Q

Sleep pattern of older adults

A

Average 7-8 hours

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8
Q

Stages of NREM

A

Stage 1
Stage 2
Stage 3
Stage 4

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9
Q

Stage 1 NREM

A

5% of cycle
Transitioning between awake and sleep, relaxed but still somewhat aware, involuntary muscle jerking may occur and wake, normally only minutes, can be aroused easily

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10
Q

Stage 2 NREM

A

50-55%

Falls asleep, can be aroused with relative ease

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11
Q

Stage 3 NREM

A

10%

Depth of sleep increases and arousal more difficult

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12
Q

Stage 4 NREM

A

10%
Greatest depth of sleep, delta sleep, arousal most difficult
Slow brain waves on EEG, pulse RR BP decreased, muscles relax, metabolism slows, low body temp.

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13
Q

Rapid Eye Movement (REM)

A

20-25%
Enters from stage 2 of NREM; arousal from sleep difficult
Small muscle twitching
BP, pulse, RR, metabolism rate, body temp increase
Irregular RR
Rapid/irregular pulse
Gastric secretions increase
Skeletal muscle tone & deep tendon reflexes decrease

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14
Q

Sleep cycle

A

We usually go through 4-5 cycles of the 4 stages each night

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15
Q

Sleep cycle stages

A

Awake > NREM 1 > NREM 2 > NREM 3 > NREM 4 > NREM 3 > NREM 2 > REM > NREM 2 > NREM 3

Each cycle is ~90-100 mins
More deep sleep in NREM 3, 4 in first half of night

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16
Q

Insomnia

A

Difficult falling asleep, intermittent sleep
30-35%

Chronic is at least 3x a week for 3 mos

17
Q

Obstructive sleep apnea (OSA)

A

Throat muscles intermittently relax and block the airway during sleep
>15 reps events in an hour

CPAP machine used as Tx

18
Q

Hypersomnolence

A

Excessive daytime sleepiness

19
Q

Narcolepsy

A

Excessive daytime sleepiness and frequent overwhelming urge to sleep or inadvertent daytime lapses into sleep

20
Q

Parasomnia

A

Patterns of waking behavior that appear during REM or NREM

Most common in kids

21
Q

Somnambulism

A

Sleepwalking

22
Q

REM sleep behavior disorder

A

Acting out dreams while asleep

23
Q

Sleep terrors

A

Wake up screaming

24
Q

Restless legs syndrome

A

Cannot lie still and report unpleasant creeping tingling sensation in legs
Tx = mild analgesic, heat/cold, relaxation techniques

No caffeine, alcohol