Sleep Apnoea Flashcards

1
Q

What are the two types of sleep apnoea?

A

Obstructive

Central

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2
Q

which type of sleep apnoea is most common?

A

Obstructive sleep apnoea

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3
Q

What is obstructive sleep apnoea?

A

When theres a blockage of the airways causing irregular breathing and snoring patterns - often leading to apnoea

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4
Q

What are the causes of obstructive sleep apnoea?

A
Swollen adenoids
Swollen tonsils 
Jaw misalignment
Obesity - soft tissue pressing down 
Hormonal changes at night 
Consuming depressants - sleeping pills, alcohol
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5
Q

What is central sleep apnoea?

A

When the CNS (brain) stops making an effort to breathe.

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6
Q

What is the cycle that’s seen in CNS sleep apnoea?

A

Person hyperventilates - hypocapnia.
Too little CO2 leads to person stopping breathing - hypercapnoea.
Too much CO2 leads to hyperventilation.
Cycle continues

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7
Q

How long does apnoea in CNA apnoea last?

A

10-30 seconds - can last for a few seconds once patient wakens up triggering panic

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8
Q

What are the symptoms of sleep apnoea?

A
Fatigue
Anginal chest pain - due to drop in O2
stress induced insomnia
nocturia
headaches
difficulty concentrating
sleep deprivation
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9
Q

What does sleep apnoea increase your risk of?

A
Heart failure
Diabetes 
Respiratory failure
Certain cancers
Stroke
Hypertension
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10
Q

How is sleep apnoea diagnosed?

A

Sleep study - polysomnogram

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11
Q

What is the treatment for sleep apnoea?

A

Obstructive - surgery
Continuous positive airway pressure (CPAP)
Avoid depressants - alcohol and sleeping pills
Weight loss
Smoking cessation

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12
Q

What are the risk factors for obstructive sleep apnoea?

A
Obesity
Male
Smoking
Alcohol excess
Micrognathia
Neuromuscular disease
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