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11 Cards in this Set

  • Front
  • Back
what are the consequences of insomnia
poor work preformance
fatigue
memory difficulties
poor concentration
increased levels of anxiety and depression
what are the steps to treating insomnia
1. address underlying medical/psychiatric cause
2. education - sleep hygeine
3. CBT
4. Medicine
Name 5 psychiatric disorders that can cause insomnia
anxiety
bipolar
depression
personality disorder
psychotic disorder
substance abuse
name 5 medical conditions that can contribute to insomnia
angina
asthma
cancer
chronic pain
COPD
dementia
GORD
parkinson disease
restless leg syndrome
name 8 sleep hygiene examples
relax 30 mins before bed
avoid smoking/drinking in the eveing
avoid exercise, heavy meals or work before bed
room temp, noise and darkness
do not eat, drink, watch tv or discuss problems in bed
dont stay in bed for >20mins if cant sleep - go to another room and do something relaxing
go to bed and wake up at the same time
avoid naps
reduce caffeine
be active during the day
what are the benefits of benzodiazepams
decrease time to fall asleep
increase total sleep time
decrease time to first awakening
decrease number of awakenings
name the 4 approved benzos for insomnia
flunitrazepam
nitrazepam
temazepam
triazolam
name 3 drugs that are not approved but are used in insomnia
diazepam
lorazepam
oxazepam
what are the ADE of circadin
headache
back pain
weakness
pharyngitis
what are the withdrawal symptoms of benzo
poor concentration
dizziness
muscle pains and tremors
feeling irritable, restless, anxious or depressed
name 3 other sleeping disorders
restless leg syndrome
narcolepsy
obstructive sleep apnoea