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Flashcards in Sleep HB Deck (101)
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1

How we feel and how we perform our daily tasks during our waking hours is greatly influenced by duration and quality of (blank)

nighttime sleep

2

Sleep is affected by what processes?

physiological and psychological

3

(blank) percent of patients present to primary care physicians for sleeping problems

50%

4

What are the 5 determinants of sleep?

duration of prior wakefulness
circadian (biological clock)
aging
drugs
sleep disorders

5

What is disruption of circadian associated with?

tumors and shortens life

6

What determines circadian rhythm?

wake/sleep
hormonal
temperature
immune
drug metabolism
renal function
airway function

7

When is melatonin the highest?

in the middle of being asleep

8

What are the stages of sleep?

you have four non-REM stages and REM
12344321REM REM 1235 (cycle)

9

What are the deepest stages of Sleep?

3 and 4 (Slow Wave Sleep)

10

What is considered normal sleep latency?

10 minutes

11

How long do you spend in each stage (percentage wise)?

5% stage 1
50% stage 2
15-25% stages 3 & 4 (slow wave sleep)
25% REM

12

What is considered Slow wave sleep (SWS)?

stage 3 and 4

13

When do you dream and have inhibition of muscular activity?

during REM sleep

14

When do you have restorative sleep, disinhibition of muscular activity, parasomnias?

during stage 3 and 4 (SWS)

15

The longer you sleep the longer your (blank) cycle.

REM

16

When does SWS typically occur?

during the earlier portion of the night and REM sleep last third of night

17

What are some age-related changes in sleep architecture?

-Increase in light/transitional sleep
-Reduction in slow-wave sleep
-Decline in overall sleep time
-Increased awakenings and arousals
-Decreased REM sleep
-Reduced sleep efficiency
(i.e light sleeping)

18

REM sleep occurs cyclically throughout the night at intervals of app. (blank) minutes in all age groups

90

19

(blank) sleep decrease slightly in elderely, whereas (blank) sleep decreases progressively with age, so that little, if any, is present in the elderly.

REM
Stage 4

20

What are these:
Tiredness, fatigue, sleepiness
Trouble sleeping
Poor sleep quality
Inadequate sleep quantity
Abnormal behavior during sleep
Loud snoring

Chief complaints and symptoms in sleep medicine.

21

What kind of history should you take and why?

sleep history because a lot of people suffer from sleep disorders

22

What four questions should you ask to assess sleep disoders?

Is your sleep at night satisfactory?
Do you tend to fall asleep or struggle to stay alert during the day?
Are you bothered by fatigue, tiredness, lack of energy most of the time?
Do you have unusual behaviors which arise from the sleep period?

23

What kind of problem is linked to sleep disorders?

car accidents

24

Which is more closesly associated with car accidents, insomnia or sleep apnea?

insomnia

25

What is this:
Difficulty initiating, maintaining, or non - restorative sleep
Most common sleep disorder

insomnia

26

What kind of insomnia is this:
Difficulty falling asleep
Longer time to sleep onset

sleep onset insomnia

27

What kind of insomnia is this:
difficulty staying asleep
frequent nocturnal awakenings

sleep maintenance insomnia

28

What kind of insomnia is this:
waking too early in the morning

sleep offset or late insomnia

29

What kind of insomnia is this:
fatigue despite adequate sleep duration

nonrestorative sleep

30

What kind of insomnia can these cause:
acute illness, jet lag, shift change

transient insomnia: episodic