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41 Cards in this Set
- Front
- Back
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what are dyssomnia?
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disorders to affect ability to sleep overall
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what is parasomnia?
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strange things that happen during sleep
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explain SCN function
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blue light stimulates suprachiasmatic nucleus(SCN)
SCN stimulates RF to promote wakefulness SCN also stimulates pneal body to screte melatonin which feedback inhibits the diurnal patthern |
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stage 1
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loss of alpha wakeful waves
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stage 2
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.5-2 sec burst of biparietal sleep spindles and high amplitutde sharp slow wave K complexes
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stage 3
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slowe wave sleep with delta waves
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stage 4
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increased slowing compared to stage 3
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what is slow wave or deep sleep
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stage 3and 4
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what stage does REM occur with
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stage 2 alternates with REM
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dreaming when?
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REM
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normal sleep pattern
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1,2,3,4,3,2,REM,2,3
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REM looks like
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alpha bursts
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when REM?
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100 mins into sleep
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when do u roll over during sleep
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during stage 2 after REM
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Primary idiopathic insomnia
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one moneth or more of poor sleep
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what are the types of primary idiopahtic insomnia?
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idiopathic-common in old
inadequete sleep hygiene- bad habits sleep state misperception- slept but dont feel lik it psychopphsiological inosomia-too anxious to sleep |
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circadian rhythm sleep disorder types
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delayed vs advanced
jet lag type shift work type |
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treatment for circadian rythm sleep disroder?
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chronotherapy-gradula or sudden shift
phototherapy- bright blue light when sleepy melatonin- to make u sleep when not tired |
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Sleep apnea types
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obstructive-overweight
central-lower medullary lesion |
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treatment for sleep apnea
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obstructive-Cpap, BIpap, mouthpiece
central-nocternal vent and sleep alarms during day |
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what is seen different in obstructive vs central?
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obstructive diaphram still works
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narcolepsy diagnosed how
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presence of cataplexy or sleep onset REM in multiple sleep latency tests
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what is cataplexy
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sudden collapsing into sleep during day in history
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treatment for narcolepsy
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stimulants for sleep attacks
noradrenergic antidepressants or sodium oxybate for cataplexy |
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what is primary hypersonmia types
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idiopathic
post viral kliene-levin-adolesence sleep only interrupted only by needs for food and bathroom self limiting |
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what are the dyssomnias?
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sleep apnea
narcolepsy hypersomnia circadian rythm disorder |
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what are the non REM movement disorders of parasomnia?
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restless leg
benign nocturnal myoclonus bruxism rhythmic movement disorder periodic limb movemnt of sleep |
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what is benign nocturnal myoclunus
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what you do when ur tired during class
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what non REM movment disorders are associated with mental retardation
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rhythmic movement disorders
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what is treatment for bruxism
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mouthguard/aerobic exercise
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what is treatment of RLS
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dopamine agonist
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when does sleep terror disorder occur
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during first 100 mins
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what are some factors of sleep terrors
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non responsive and amnestic
nightly for das to weeks |
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peak incidence aroudn age what? for sleepwalking
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8
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what are the REM related disorders
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nightmare
REM behavior disorder-act out dreams sleep paralysis-inappropriate REM atonia during wakefulness |
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how is REM behavior disorder treated?
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dopaminergics
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how is sleep paralysis treated
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reassurance sufficient
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enuresis is what?
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wet the bed
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what is good treatment for enuresis?
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GU workup
make child clean own sheets wakefull motivation affects sleep behavior |
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what are used to treat insomnia in general
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benzodiazepine
non BZ GABA type A agonists melinin trazodone off-label |
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what are some non medical treatments for insomnia
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self hypnosis
progressive muscular relaxation(tense tehn relax) cognative therapy to reduce worry sleep hygiene- no clock, no TV, no reading, no snack, no stimulants or drinks after supper, DONT REWARD WAKING UP WITH TV OR FOOD |
