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Flashcards in sleep Deck (12):
1

can't initate (> 30 min) or maintain sleep (

insomnia

2

secondary insomnia

depression: early morning wakening
anxiety: initiate or maintain
shift work: initate
caffeine/diet pills/alcohol
sleep disorder

3

crawling or aching sensation of legs at night
relieved with movement or stretching legs
associations: iron deficiency, anxiety, depression, PD, pregnancy, CKD, spinal cord injury, RA
meds: SSRI, antihistamine, antipsychotic, lithium, TCA, caffeine

RLS

4

daytime drowsiness, fatigue
overweight
loud snoring
HTN due to chronic hypoxemia
edema from cor pulmonale

OSA

5

severity of OSA

apnea-hyponpnea index
number apnea events or hypopnea (reduction in airflow)

6

falling asleep during day

OSA
narcolepsy

7

if think RLS then order

serum ferritin to r/o IDA

8

if think narcolepsy need

smultipleep l leatency test

9

if think OSA need

polysomnography

10

treatment of acute insomnia

non-BZD: zolpidem

11

treatment of chronic insomnia

CBT

12

treatment of narcolepsy

stimulant: modafinil
if mod-severe: daytime naps