Sleep

Question 1

Sleep

Answer 1

Person lacks conscious awareness but easily awakened

Question 2

Sleep Disturbances vs Disorder

Answer 2

Dist: Conditions of poor sleep quality
Diso: Abnormalities unique to sleep

Question 3

RAS

Answer 3

Reticular Activating System: Causes Alertness and Attention

Question 4

4 Functions of RAS

Answer 4

Motor
Sensory
Visceral
Consciousness

Question 5

Circadian Rhythm
Managed by?

Answer 5

Biological rhythm of behavior over a 24hr period
Suprachiasmatic Nucleus (SCN) in hypothalamus

Question 6

Strongest queue for our sleep rhythm

Answer 6

light

Question 7

Sleep Latency

Answer 7

When someone begins to fall asleep

Question 8

How much does NREM sleep make up for?

Answer 8

75%-80%

Question 9

Parasomnias
When are they most common?

Answer 9

Unusual behaviors while falling asleep
- When transitioning between sleep phases

Question 10

How to help w/ ICU Psychosis

Answer 10

Lower lights open blinds

Question 11

Cause of Chronic Insomnia

Answer 11

Often not known
Maybe: Stressful event
Psych. illness/ med condition
Substance Abuse

Question 12

How long to ask pt to sleep log when suspected of insomnia?

Answer 12

2 weeks

Question 13

Diagnosis of Insomnia

Answer 13

Self
Actigraphy
Polysomnography

Question 14

What is the first line of defense for insomnia?

Answer 14

Cognitive-Behavioral Therapy

Question 15

Drug therapy for Insomnia (5)

Answer 15

Benzodiazepine
Melatonin Agonist
Antidepressant
Antihistamines
Alternative therapy

Question 16

Sedative-Hypnotic Drug

Answer 16

Treats anxiety/insomnia
Depress CNS function

Question 17

Common Benzodiazepines for sleep

Answer 17

Temazepam
Triazolam

Question 18

Sleep apnea Symptoms (6)

Answer 18

Snoring
Day time sleepiness
Breathing obstruction in sleep
Morning headache Unrefreshing sleep
Increased Irritability

Question 19

Complications of sleep can result in (5):

Answer 19

Hypertension
Cardiac Changes
Poor memort
Impotence
Depression

Question 20

Apnea is not breathing for ____

Answer 20

10-90 seconds

Question 21

How many times can apnea happen in a 6-8hr period

Answer 21

200-400

Question 22

What can sleep apnea lead to?

Answer 22

Insomnia

Question 23

Who is at more risk for sleep apnea?

Answer 23

Obese ppl
ppl >65 y/o
ppl with tech circumference over 17in.
ppl with craniofacial abnormalities that affect the airway
Smokers

Question 24

Between men and women who is it more common in?

Answer 24

Men until women are in menopause, then it evens out but it becomes more dangerous for women

Question 25

How common is sleep apnea?

Answer 25

2-10% of Americans but considered to be underreported

Question 26

How long does a diagnosis take foe sleep apnea

Answer 26

1-2 nights

Question 27

Treatments for mild sleep apnea?

Answer 27

Sleeping on ones side Elevating head of bed Avoiding sedatives and alcohol 3-4hrs before sleep Weight loss Oral appliance

Question 28

Treatment for severe sleep apnea

Answer 28

CPAP BIPAP Surgery (UP3 or GAHM)

Question 29

Most common treatments for mild sleep apnea

Answer 29

CPAP machines

Question 30

How does a BiPAP differ from a CPAP

Answer 30

BiPAP has one pressure for inhaling and the other for exhaling

Question 31

What is Narcolepsy?

Answer 31

When the brain is unable to regulate sleep wake cycles normally

Question 32

Ig a pt with narcolepsy goes to sleep suddenly, what stage is it?

Answer 32

REM

Question 33

What neuropeptide is linked to narcolepsy?

Answer 33

Orexin: low levels lead to difficulty staying awake

Question 34

2 types narcolepsy?

Answer 34

Type 1: With cataplexy Type 2: w/o cataplexy

Question 35

Symptoms of narcolepsy?

Answer 35

Sleep paralysis Cataplexy Fragmented nighttime sleep

Question 36

Management for narcolepsy (5)

Answer 36

Sleep hygiene maintenance Naps Avoid Heavy meals and alcohol Lifestyle changes Ensure safety

Question 37

For sleep, older age is associated with (4)

Answer 37

shorter total sleep time Decreased sleep efficiency More awakenings Insomnia Symptoms

Question 38

Dangers of sleep complications for older age?

Answer 38

Awakenings can lead to falls Meds can contribute to sleep problems Avoid long acting benzodiazepines

Question 39

Being awake for 17 and more than 24 hours is the same as what levels of blood alcohol?

Answer 39

.005% .10% (Legally drunk)

Question 40

Do's for nurse fatigue management

Answer 40

One break in addition to lunch Use caffeine therapeutically as a stim. Carbs + Proteins Exercise

Question 41

Main DONT for nurse fatigue management

Answer 41

DONT drink alcohol