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Amy's Nursing 50B > Sleep > Flashcards

Flashcards in Sleep Deck (35):
0

Which area of the brain controls alertness and wakefulness?

Reticular Activating System (RAS)

1

Which area of the brain produces sleep?

Bulbar Synchronizing Region (BSR)

2

Which area of the brain is the major sleep center that controls waking and sleeping?

Hypothalamus

3

Which group of hormones are released to promote wakefulness?

Catecholamines (released from the RAS)

4

Which hormone is released by the brain to produce sleep?

Serotonin (from the BSR)

5

What happens to a person's vitals and muscle tone during NREM sleep?

They decrease; average P 60, R 12

6

Define NREM Stage I.

Lightest level of sleep; easily aroused, may feel as if person was daydreaming when awakened

7

Define NREM Stage II.

Period of sound sleep; arousal remains easy

8

Define NREM Stage III.

Initial stage of deep sleep; sleeper is difficult to arouse; vital signs decline but remain regular

9

Define NREM Stage IV.

Deepest stage of sleep; vital signs are considerably lower than during wakefulness; sleep walking and enuresis occur during this stage

10

Define REM sleep.

Rapid Eye Movement; characterized by vivid, full-color dreaming; difficult to arouse sleeper; fluctuating or increased vitals, muscle tone and gastric secretions

11

What are the stages of the sleep cycle?

NREM 1, NREM 2, NREM 3, NREM 4, REM, NREM 4, NREM 3, NREM 2, NREM 3.....

12

Which stage(s) of sleep do dreams occur in?

Both REM and NREM, however they are more vivid in the REM stage

13

Define RLS.

Restless leg syndrome; causes an itching sensation deep in the muscles, which is only relieved by moving the legs

14

What type of interventions might be helpful in a patient with peptic ulcer disease?

Milk, tums, HOB >30 degrees

15

Define insomnia.

Inability to fall asleep

16

Define parasomnia.

Undesirable behaviors that occur during sleep

17

Define sleep hygiene.

Practice that one associates with sleep

18

Define hypersomnia.

Inadequacy in quantity or quality of sleep

19

What are the two major risk factors for OSA?

Obesity and hypertension

20

If a patient has had a previous MI, he/she is also at risk for another MI during which sleep stage?

REM

21

If a pt has a history of epilepsy, the patient is more at risk for what?

70% more at risk for seizures during sleep

22

What is the most common complaint of a patient with OSA?

Excessive daytime sleepiness (EDS)

23

Define OSA.

Obstructive sleep apnea; causes apnea for periods of 10 seconds to 2 minutes during sleep

24

Define CSA.

Central sleep apnea; dysfunction in the respiratory control center of the brain, in which the impulse to breathe temporarily fails

25

Define narcolepsy.

Dysfunctions of mechanisms that regulate sleep and wake states

26

What symptom(s) are present with hypothyroidism?

Night sweats, heart palpitations

27

What symptom(s) are present with hyperthyroidism?

Inability to fall asleep

28

What effects do liver failure and encephalitis have on a person's sleep pattern?

More sleepy during the day, more awake during the night

30

How many hours per day does an infant usually require?

15 hours per day (8-10 hours during the night)

31

How many hours of sleep per night does a toddler usually require?

12 hours per night

32

What type of foods can be encouraged near bedtime to promote sleep?

Foods with the protein L-tryptophan (milk, cheese, meats)

33

Who can report whether sleep was sufficient or restful?

Only the patient

34

When should you refer a patient to the sleep clinic?

After the patient has been having sleep problems for at least 6 mo

49

How many hours per sleep does a neonate usually require (0-3 mo)?

16 hours per day