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15 Cards in this Set

  • Front
  • Back
Sleep
altered state of consciousness
circadian rhythm
sleep cycle
BP, RR, Temp affected
NREM
non-rapid-eye movement
75-80% of sleep
Stages:
1. drowsy
slight drop in HR, RR
2. light sleep
decreased HR, RR
3 & 4. deep sleep
decreased HR, RR by 20-30%
REM
rapid-eye movement
Every 90mins for 5-30 mins
ACh and dopamine increase
Dreams
Fx of Sleep
Create homeostasis for body
protein synthesis occurs
Normal Sleep Patterns
Newborns: 16-18 hrs, irr
Infants: 14-15 hrs, irr/reg
Toddlers: 12-14 hrs, reg w/ nap
Preschoolers: 11-13 hrs, reg
School-Age: 10-11 hrs, reg
Adolescents: 9-10 hrs, reg (tend to get less than rec)
Adults: 7-9 hrs, reg
(tend to get less than rec)
Elders: 7-9 hrs, reg
(wake/Go to bed earlier)
Factors Affecting Sleep
Illness ie pain
Environment ie noise
Lifestyle ie night shift
Emotional Stress ie school
Stimulants/Alcohol ie caffenine
Diet ie bad diet= bad sleep
Smoking ie difficult to sleep
Medications ie beta blockers
Common Sleep Disorders
SHIPIN
Sleep Apnea
Hypersomnia
Insomnia
Parasomnia
Insufficient
Narcolespy
Sleep Apnea
short breathing pauses
r/t: snoring, obstruction
Hypersomnia
sufficient amount of sleep but still sleepy
Insomnia
inability to fall asleep
Parasomnia
behavior during sleep
ie sleep walking or talking
Insufficient Sleep
more than 19 hrs of no sleep produce same affect as 0.05 of alcohol
Narcolepsy
sleep caused by lack of hypocretin in the CNS
RN management of Sleep
Assess: Sleep Hx, PPH, Physical
Implement: sleep diary
Dx: EEG, EMG or EOG
Plan: implement pattern