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31 Cards in this Set

  • Front
  • Back

What is sleep?

A state of unconsciousness from which a person may be awakened by sensory or other stimuli

What is a waking state characterized by?

Mentally relaxed


Freedom from stress and anxiety


Physical calmness

What does the circadian rhythm do?

Influences the pattern of biological and behavioural functions

What affects a circadian rhythm?

Light, temp, social activities, work routines

What two systems are involved in sleep regulation?

Reticular Activating System (maintains alertness and wakefulness)




Bulbar Synchronizing Region (secretes serotonin and produces sleep from pons and medulla)

What occurs in stage 1 of sleep?

Light sleep




Eye, muscle, and brain activity decrease

What occurs in stage 2 of sleep?

Eye and muscle movement stop




Brain waves slow down

What occurs in stage 3 of sleep?

Brain produces very slow delta waves




Deep sleep begins

What occurs in stage 4 of sleep?

Brain only produces delta waves




Sleeper may be disoriented if awakened

What occurs in REM sleep?

HR, RR, BP rise


Muscle of neck, limbs, and torso are paralyzed


Quick and irregular eye movements




Sleeper begins to dream

How many cycles do people usually go through?

5

How long do the cycles last?

90-110 minutes

What is the purpose of sleep?

Restores our physiological, psychological, and cognitive functioning


Conserves our energy




Repairs tissues, growth hormone, immune system, cardiac function, bone marrow and skin cells, memory and learning

What are the 4 components of an assessment of sleep and rest?

Health history, sleep log, observation of sleep, sleep lab evaluation

What is involved in their health history?

Quality of sleep, quantity of sleep, usual sleep pattern, the activities before bed




Alcohol, nicotine, alcohol ingestion




Screen for medical problems that may cause sleep disturbances

What is restless leg syndrome?

A feeling in your legs you can't get rid of and must move

What are some common alteration in sleep?

Insomnia


Sleep apnea


Narcolepsy


Sleep deprivation

What is insomnia?

The perception of inadequate or abnormal sleep over a period time

What is transient insomnia?

Lasts less than 1 week

What is persistent insomnia?

lasts for weeks

The onset of initial insomnia is stated when?

Greater than 30 minutes to fall asleep

What is terminal insomnia?

Early morning awakening and can't resume sleep




Associated with depression

What are some conditions/factors that can contribute to poor sleep?

Travel


Stress


Shift work


Unfamiliar sleep environments


Temp

What are some daytime consequences of lack of sleep?

Fatigue


Loss of energy


Memory lapses


Difficulty concentrating


Depression, anxiety

What is sleep apnea?

The loss of tone in upper airway dilator muscles


There is a partial or complete collapse of the airway


Decreased 02 sats

What is the most common form of sleep apnea?

Obstructive sleep apnea

What are some risk factors for developing sleep apnea?

Male


Obesity


Older age


Fam history


Abnormalities

How can we treat sleep apnea?

Losing weight


Side-lying for sleep


Continuous positive airway pressure

What is narcolepsy? What causes it?

Neurological disorder




Results from an imbalance b/w sleep (BSR) and waking centers (RAS)

What of the manifestations of sleep?

Sudden sleep attacks


Loss of voluntary muscle tone


Paralysis upon falling asleep or awakening

What can sleep deprivation cause?

Irritability


Cognitive impairment


Hallucinations


Impaired immune system


Risk of type 2 DM


Decreased reaction time