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Rest/Sleep

Module I- Roark 102 Rest & Sleep- Calhoun

QuestionAnswer
Cyclic physoloigical process that alternates with longer periods of wakefulness. It is a recurrent, altered state of consciousness lasting an average of 8 hrs, commencing at the same time every 24 hrs. Sleep
Circadian rhythms know as a persons... Biological clock
EEG- electroencephalogram measures... Electrical activity in the cerebral cortex
EMG- electromyogram measures... Changes in muscle tone
EOG- electrooculogram measures... Eye movements
This regulates sleep... Hypothalamus
This is located upper brain stem, & has specialized cells that release norephnorphien which maintains alertness & wakefulness... Reticular activating system (RAS)
This is located in the pons & mid brain has special cells that release serotonin, which adds in producing sleep... Bulbar synchronizing region (BSR)
Control & Regulations of sleep is accomplished by the inter-relationship of these in the brain, Both must be balanced... Reticular activating system (RAS) & Bulbar synchronizing region (BSR)
Stages last about 90 minutes per stage... NREM (Non-rapid eye movement)
This phase lasts on average 20 minutes, Vivid dreams, Increased blood pressure, & gastric secretions, Variable heart & respiratory rates, Fluttering eyelids, Relaxed skeletal muscles... REM (Rapid eye movement)
This stage is the lightest level of sleep, lasting a few minutes, can still be aroused. (daydreaming)... Stage I
This stage is the period of sound sleep, arousal is fairly easy, 10 t 20 minutes, slow body functions... Stage II
This stage is the deep, deep, sleep, difficult to arouse, muscle completely relaxed, 15 to 30 minutes... Stage III
This stage is very very difficult to arouse, V/S are lower than awake V/S, 15 to 30 minutes (sleep walking, bed wetting)... Stage IV
Repair & renewal of cells occurs during... Sleep
Dreams are more vivid & elaborate, most likely the dream you will remember occurs during... REM sleep
Multiple Sleep Latency Test (MSLT)is a test lasting 8-10 hrs over... 2 or 3 napping sessions- Book say at least 4 naps
This test measures eye movement, changes in muscle tone, & brain electrical activity... Multiple Sleep Latency Test
Is a small device attached to the wrist to measure sleep-wake patterns over an extended period of time which provides information on sleep time, number & duration of awaking periods, level of activity & rest... Actigraph
Is a small device attached to the wrist to measure sleep-wake patterns over an extended period of time which provides information on sleep time, number & duration of awaking periods, level of activity & rest... Actigraph
Prior to procedure educate patient- avoid caffeine, alcohol, sedative, naps for 1-2 days prior to testing, obtain signed consents... Nursing strategies for sleep studies:
A disorder in which the patient cannot breath & sleep at the same time lack of airflow for 10 seconds to 2 minutes... Sleep Apnea
There can be 10 to more than 100 respiratory events per hour of sleep... Sleep Apnea
Central dysfunction, Obstuctive Apnea, & Mixed Obstructive Sleep Apnea... 3 types of Sleep Apnea
Is the most common type of Sleep Apnea: Risks include.. Obesity, smoking, alcohol, positive family history, Rt side heart failure, pulmonary hypertension, stroke, angina, generalized hypertension... Obstructive Apnea
This is the brains respiratory control center. Its common in clients with brain stem injury, muscular dystrophy, or encephalitis & people who breathe normally during the day... Central dysfunction
Treatment for underlying cardiac & respiratory complications, Weight loss program, Continuous positive airway pressure (CPAP)device, Surgical intervention... Treatments for Sleep Apnea
This is a CNS dysfunction of the mechanisms that regulate the sleep/wake cycles, persons fall asleep uncontrollably at inappropriate times & treated with CNS stimulants... Narcolepsy
More common in babys & children, sleep-wake transition disorder, sleepwalking, night terrors, nightmares, & bruxism (grinding teeth)... Parasomnias or (SIDS) (Supine position for babies!!!)
15 hrs of sleep Infants
12 hrs of sleep with or without nap Toddlers & preschoolers
9-12 hrs of sleep School aged
7.5 hrs of sleep Adolescent
6-8 hrs of sleep Young adults/20% of sleep in REM
Medications used to induce sleep... Hypnotics
Medications used to calm or sooth... Sedatives
Medications used to decrease the CNS responsiveness to stimulation, very addictive, long half-life, Used for Anxiety Ex: Seconal, Nembutal... Barbiturates
Metabolized quickly, very addictive, toxic to liver, decreased half-life, Used for Anxiety Examples: Halcion, Restoril, prosom... Benzodiazepines
All Generics end in... Barbital
Valerian, Kava, Chamomile, & Melatonin are Herbal Sedatives
These are not regulated by the FDA, May interact/interfere with prescribed medication, & concurrent use should be avoided... Valerian, Kava, Chamomile, & Melatonin (All Herbal Sedatives)
Created by: maliakaye5
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