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15 Cards in this Set
- Front
- Back
Sleep
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altered state of consciousness
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circadian rhythm
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sleep cycle
BP, RR, Temp affected |
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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% |
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REM
rapid-eye movement |
Every 90mins for 5-30 mins
ACh and dopamine increase Dreams |
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Fx of Sleep
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Create homeostasis for body
protein synthesis occurs |
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Normal Sleep Patterns
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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) |
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Factors Affecting Sleep
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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 |
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Common Sleep Disorders
SHIPIN |
Sleep Apnea
Hypersomnia Insomnia Parasomnia Insufficient Narcolespy |
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Sleep Apnea
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short breathing pauses
r/t: snoring, obstruction |
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Hypersomnia
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sufficient amount of sleep but still sleepy
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Insomnia
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inability to fall asleep
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Parasomnia
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behavior during sleep
ie sleep walking or talking |
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Insufficient Sleep
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more than 19 hrs of no sleep produce same affect as 0.05 of alcohol
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Narcolepsy
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sleep caused by lack of hypocretin in the CNS
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RN management of Sleep
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Assess: Sleep Hx, PPH, Physical
Implement: sleep diary Dx: EEG, EMG or EOG Plan: implement pattern |