Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
29 Cards in this Set
- Front
- Back
what causes occasional insomnia
|
stress and worry
|
|
what causes persistant insomnia
|
there is an underlying cause that must be treated
POSSIBLE CAUSES: general panic disorder depression pain |
|
what stage of sleep has hypnic myoclonia
|
stage 1
|
|
what are the properties of stage 1 sleep
|
easily awakened
hypnic myoclonia slow eye movement |
|
what stage are brain waves slower but are interspersed with sleep spindles
|
stage 2
|
|
what stages is it hard to wake someone up from
|
stages 3 and 4
|
|
what are the properties of stage 3
|
no eye movement, slow delta waves
|
|
what are the properties of stage 4
|
no eye movements, mostly slow delta waves
|
|
what are the properties of REM sleep
|
rapid eye movement
limbs paralyzed rapid, irregular, shallow breathing increased heart rate and blood pressure can't regulate temperature |
|
what happens if awakened during REM
|
may recall dreams
re-enter REM sleep |
|
how do you know you're sleep deprived
|
fall asleep 5 mins after retiring
drowsy during the day constantly yawn |
|
what does melatonin do
|
it makes you sleepy
|
|
what is melatonin released from
|
suprachiasmatic nucleus
|
|
what does REM, Deep, and sleep deprivation do to epilepsy
|
rem prevents
deep promotes sleep deprivation seizures |
|
what is the frequency asthma and stroke
|
more frequent at night
|
|
what occurs in sleep apnea
|
as inhalation occurs windpipe collapses
blood O2 decreases and wakes sleeper sleeper gasps for aid and goes back to sleep |
|
why can't you give hypnotics and sedatives to someone w/ sleep apnea
|
b/c they may not wake up to breathe
|
|
how do you treat someone w/ sleep apnea
|
CPAP (possitive pressure)
|
|
what is RLS
|
uncontrollable urge to move legs
genetic component |
|
how can you treat RLS
|
dopamin agonist, opiods if severe
|
|
what can aggravate RLS
|
dopamine antagonist
Ca channel blockers caffeine some antidepressants |
|
how do BZD and N-BZD effect sleep
|
decrease sleep latency and number of awakenings
|
|
how do barbituates effect sleep
|
decrease sleep latency but REBOUND MAY OCCUR IF D/C
|
|
how does Ramelteon work
|
melatonin Rc agonist (GPCR)
reduces latency |
|
where are the melatonin Rc found
|
MT1 and MT2 found in superchiasmatic nucleus
|
|
what are some non prescription sleep aids
|
diphenhydramine: benadryl
rebound may occur |
|
what is narcolepsy
|
uncontrollable urge to sleep during the daytime, NOT SLEEP DEFICIT
disturbed sleep at night, especially REM strong genetic component |
|
what is the major genetic component of narcolepsy
|
DR2
|
|
how do you treat narcolepsy
|
CNS stimulants (amphetamines, methylphenidate) to block dopamine uptake
Modafinil Sodium Oxybate |