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Flashcards in Sleep Disorders Deck (19):
1

What is the defn of normal sleep

reversible state of perceptual disengagement and unresponsiveness to the eviro

2

Sleep is usually accompanied by (2 things)

postural recumbency
physical quiescence

3

Sleep needs change (normally) with...

age

4

What are symptoms of sleep problems?

sleepiness
insomnia
snoring
abnormal behaviors (seizures)
nightmares
abnormal movements (restless legs)

5

assessment that evaluates the likelihood or problems intubation (shows how obstructed the posterior pharynx is by the tonge)

oral "cube" mallampati

6

class 3 or 4 oral mallampati

sleep apnea
(cannot see the posterior oral pharynx

7

Morbitiy and mortality assc with sleep problems

car accidents
sleepiness
bed partner
CVD
HTN
CHF/PHTN
A fib

8

libby zion case

why we have duty hour restrictions
*resident mistake bc they were tired

9

time spent in REM (inc or dec) as you have been sleeping longer

longer
**rem and non-rem alternate all night (i.e. 90 to 120-mins cycles)

10

What part of the brain controls need for sleep

hypothalamus
* think thats what he said, i was reading a blog post during this part of the lecture...

11

Melatonin production (increases or decreases) during the day

decreases

12

When is growth hormone secreted

at night during slow wave sleep
**imp for teenagers

13

What are common sleep pathologies

obstructive sleep apnea
central apneas and periodic breathing
obesity hypoventialtion syndrome
restless leg syndrome
narcolepsy
insomnia

14

movements that are not assc with sleep (i.e. sleepwalking, sleep talking)

parainsomniaa

15

What is the prevalence of OSA

4% in men and 2% in women in 30-60 y/o
*prob due to weight gain as we age

16

pathogenesis of OSA

pharyngeal muscles relax during REM sleep--> weight causes airway to collapse

17

Tx for OSA

CPAP (continuous positive pressure to keep the airways open)

18

circadian rhythym

changes as you age

19

defn sleep
symp and path of sleed disorders
how that interferes with pt
sleep for 1/3 of life

what he wants us to know