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32 Cards in this Set

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DEFINE THE DIURNAL RHYTHEM
THE 24 HR CYCLE...SAME AS THE CADIAN RHYTHEM
DEFINE INFRADIAN RHYTHEM
ONE THAT OCCURS LONGER THAN A 24 HR PERIOD..IE A WOMENS MENSRUAL CYCLE
LEVEL OF SLEEP WHERE BODY TISSUES ARE RESTORED
NREM SLEEP ( NON RAPID EYE MOVEMENT)
CHILDREN EXPERIENCE MORE NREM (LEVEL 4) SLEEP THAN ADULTS.
NOTE
WHAT OCCURS DURIN REM SLEEP
BRAIN TISSUE RESTORATION COGNITIVE RESTORATION
DREAMS OCCUR DURING BOTH REM AND NREM SLEEP
NOTE
DEFINE NOCTURIA
URINATION DURING THE NIGHT. COMMON IN OLDER PEOPLE W/ REDUCED BLADDER TONE
PERSONS WITH DUODENAL ULCERS FAIL TO SUPPRESS ACID SECRETION IN THE 1ST TWO HRS OF SLEEP
NOTE
XCESSIVE DAYTIME SLEEPING, CAUSED BY INADEQUATE SLEEP, USE OF INTOXICATING DRUGS, INABILITY TO FEEL REFRESHED
NOTE
WHAT ARE THE THREE PROBLEMS ASSOCIATED WITH SLEEP DISORDERS
INSOMNIA, ABNORMAL MOVEMENTS, EXCESSIVE DAYIME SLEEPINESS ( HYPERSOMNOLENCE)
DYSSOMNIAS ( THE 3) MAJOR GROUPS
INTRINSIC

EXTRINSIC

CIRCADIAN RHYTHEM DISORDERS
WHAT ARE INTRINSIC SLEEP DISORDERS
TROUBLE FALLING ASLEEP, OR PROBLEMS MAINTAINING SLEEP
DEFINE EXTRINSIC SLEEP DISORDERS
DEVELOPED FROM EXTERNAL FACTORS, WHEN REMOVED THE DISORDER IS RESOLVED
WHAT ARE CIRCADIAN RHYTHEM SLEEP DISORDERS
INPROPER TIMING OF SLEEP
WHAT ARE PARASOMNIAS
UNDESIRABLE BEHAVIORS THAT OCCUR DURING SLEEP. AROUSAL DISORDERS IE SLEEPWALKING, LEG CRAMPS, NIGHTMARES
DEFINE OSA
OBSTRUCTIVE SLEEP APNEA...DAYTIME SLEEPINESS IS THE MAJOR COMPLAINT OF PTS W/ OSA
DEFINE NARCOLEPSY
DESIRE TO SLEEP DURING THE DAY. REM SLEEP MAY OCCUR W/IN 15 MINUTES. CATAPLEXY IS ASSOCIATED W/ NARCOLEPSY....DEFINED AS SUDDEN MUSCLE WEAKNESS DURING INTENSE EMOTIONS
PARASOMNIAS ARE MORE COMMON IN CHILDREN THAN IN ADULTS. SIDS IS AN EX.
NOTE
REST DOES NOT IMPLY INACTIVITY INSTEAD IT'S A STATE OF MENTAL, PHYSICAL, AND SPIRITUAL ACTIVITY THAT LEAVES YOU REFRESHED
NOTE
50 % OF SLEEP IN NEONATES IS REM SLEEP ...THIS STIMULATES THE HIGHER BRAIN CELLS
NOTE
what % of sleep time is spent in rem sleep
20%...this is consistent throughout life except 4 infants who have 50% rem sleep
AS A PERSON BECOMES ELDERLY ALL LEVELS OF SLEEP DECLINE
NOTE
l TRYPTOPHAN IS FOUND IN MILK CHEESE AND MEATS
NOTE
EXCERCISE SHOULD BE DONE 2 HOURS OR MORE B4 BEDTIME
NOTE
AN OBESE PT WILL SLEEP LONGER, WITH LESS INTERUPTIONS...A PT WHO HAS LOST WEIGHT WILL HAVE MORE FRAGMENTED SLEEP
NOTE
SLEEP IS A SUBJECTIVE EXPERIENCE SUBJECTIVE REPORTS BY THE PT ARE CONSIDERED TOBE RELIABLE AND VALID MEASURES OF SLEEP
NOTE
WHEN PHYSICAL SYMPTOMS ARE INTERFERING WITH SLEEP, MANAGEMENT OF THE SYM. WILL BE THE NURSES PRIORITY
NOTE
IT'S ALWAYS IMPORTANT FOR A PT TO GO TO SLEEP WHEN THEY FEEL FATIGUED OR SLEEPY
NOTE
FLUIDS SHOULD BE REDUCED 2-4 HRS BEFORE SLEEP

PAIN KILLERS SHOULD BE USED 30 MIN BEFORE BED
NOTE
HYPNOTICS
MEDS THAT ARE USED TO INDUCE SLEEP
SEDATIVES
MEDS THAT PRODUCE A CALMING OR SOOTHINF EFFECT
BENZODIAZEPINES
CONSIDERED TO BE RELATIVELY SAFE

CAUSE RELAXATION , SUPPRESS RESPONSIVENESS TO STIMULI

THEY DO NOT CAUSE CNC DEPRESSION AS SEDATIVES AND HYPNOTICS DO

ANTI ANXIETY EFFECT OCCURS AT SAFE , NONTOXIC LEVELS