Sleep and Rest Flashcards

1
Q

sleep latency

A

amount of time it takes to fall asleep

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2
Q

3 things to consider for sleep health

A
  • sleep latency
  • how often wake up during the night
  • is it easy to wake up in the morning
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3
Q

consequences of poor sleep

A

-increase BP, cortisol, levels of cytokines

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4
Q

NREM 1,2,3

A

LOOK UP TABLEq

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5
Q

70-80% of sleep is rem or nrem sleep

A

NREM

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6
Q

when does cognitive processing occur in sleep?

A

REM sleep

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7
Q

N3 sleep

A

deep sleep, restorative process

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8
Q

NREM sleep decrease from wakefulness

A
  • brain activity
  • heart rate
  • BP
  • mucsle tone (slightly)
  • blood flow to brain
  • RR
  • sympathetic nerve activity
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9
Q

Swallowing response in sleep

A

suppressed from wakefulness in REM and NREM

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10
Q

Muscle tone in REM sleep

A

Absent

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11
Q

Body temp and rem/nrem sleep

A

rem: not regulated, no shivering/swearing
nrem: regulated at lower level form wakefulness
airway

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12
Q

airway resistance nrem and rem sleep

A

nrem: increase from wakefulness
rem: increase and varies from wakefulness

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13
Q

REM sleep increase from wakefulness

A
  • brain activity
  • heart rate
  • BP
  • sympathetic nerve activity
  • blood flow to brain
  • RR
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14
Q

expected duration of sleep for adult

A

7-9 hours

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15
Q

1/3 of adults sleep how much?

A

<6 hours

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16
Q

Average sleep latency for adult

A

10 minutes

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17
Q

What is sleep latency is less then 5 minutes

A

-sleep deprivation

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18
Q

What is sleep latency is more then 30 minutes?

A

-insomnia

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19
Q

average # of noctural awakenings in a night for adult

A

1-2

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20
Q

circadian rhythm

A

24 hours cycle in body

-balance between wake and sleep

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21
Q

What age does circadian rhythm develop?

A

2-3 months

22
Q

Age when infants begin to sleep through night

A

6-9 months

23
Q

average amount of sleep in day for newborn/infant

24
Q

average amount of sleep for toddler/preschooler

25
___% of sleep is REM sleep in toddlers/ preschoolers
30
26
school age kids average hours of sleep
9
27
older adults sleep issues
increase sleep latency increase time in bed sleep related health problems
28
Light effect on melatonin
decrease melatonin
29
Temperature and sleep
avoid excessive heat or cold
30
Negative impacts sleep
- eating close to bed - GERD - caffeine within 6 hours of bed time - nocturia
31
Benzodiazapines and sleep
make fall asleep quickly but not a normal fx on sleep | sleep latency
32
Alcohol and sleep (+chronic impact)
Chronic: impact sleep quality for a year once quit drinking - sleep latency: fall asleep quick but not normal fx of sleep - increase rebounding - decrease rem - nocturia due to inhibition of ADH
33
Insomnia
increase sleep latency that leads to decrease sleep time
34
sleep latency
amount of time it takes to fall asleep
35
3 things contributing to insomina
- stimulants - medication side effects - hospital environment
36
2 treatments for insomnia
cognitive behavioral therapy for insomnia | medications
37
sleep apnea
absence of breathing
38
hypopnea
shallow breathing
39
what happens to sleep in hypopnea and sleep apnea?
- frequent awakening | - decreased rem
40
consequences of hypopnea and sleep apnea
- hypertension - increased risk of stroke - impaired concentration
41
symptoms of hypopnea and apnea?
- excessive daytime sleepiness | - partner may report excessive snoring
42
nacrolepsy
- neurological autoimmune disorder with sleep attacked - experience REM sleep within 20 minutes of falling asleep - cataplexy and sleep paralysis
43
Cataplexy and narcolepsy
severe muscle weakness in 70% of people with narcolepsy | -usually occurs when falling asleep/waking up
44
Consequences of narcolepsy
- reduced quality of life - poor work performance - negative impact on personal relationships
45
Restless leg syndrome
unpleasant sensation leads to urge to move limbs
46
treatment for RLS
- intensified by inactivity- be active! | - maintain normal iron levels
47
Periodic Limb Movement Disorder (PLMD)
-repetitive dorsiflexion of foot and flexion of knee during sleep
48
treatment for PLMD
-dopamine agonist treatment
49
BEARS approach to sleep assessment
``` Bedtime Excessive Daytime sleepiness, fatigue Awakenings Regularity Snoring ```
50
Sleep habit education
- regular sleep/wake hours - no caffeine within 6 hr bed - no screen at bedtime - dedicated space for sleep - limit light in space - use bathroom before sleep - maintain sleep journal