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Sleep and Rest
Sleep and Rest NU112
| Question | Answer |
|---|---|
| Sleep | - Naturally recurring state of rest accompanied by altered conscious and relative inactivity |
| Rest | - Decreased state of activity resulting in feelings of refreshment. |
| Normal Sleep Cycle | - Wakefulness -> NREM stage I --> NREM stage II ---> NREM stage III ----> NREM stage IV ---> NREM stage III --> NREM stage II -> REM --> NREM stage II |
| NREM | - non rapid eye movement - Usually dream stage - decrease in pulse, respiration, BP,temp, metabolic rate - 75% of total sleep - 4 Stages |
| NREM Stage I | - 5% of sleep time |
| NREM Stage II | - 50% of sleep time |
| NREM Stage III & IV | - 10% of sleep time - Deep Sleep or Delta Sleep |
| REM | - Rapid Eye Movement - 20 - 25% - Difficult to arouse - Vivid Dreams - increased pulse, respiration,BP,temp, metabolic rate - decreased muscle tone and deep tendon reflexes - Essential to mental and emotional health |
| REM Rebound | - decrease will result in increased on future nights allowing for consistency. |
| Circadian Rhythm | - Biologic clock |
| Sleep Cycle | - 4-5 cycles nightly, lasts 90 - 100 minutes, cycles lengthen towards morning |
| Sleep Requirements and Patterns | - 8 hours accepted standard - infant - 14 - 20 hours - Children - 10 - 14 hours - Adult - 7 - 9 hours |
| fatigue | - is normal, protective, warning - Chronic is abnormal, can result in illness |
| Adults and Sleep | - take longer to fall asleep - wake earlier and more frequent - less able to cope with change - naps reduce quality of sleep - |
| Infants and Sleep | - SIDS - supine decrease mortalitiy by 50% - 72% of nurses agreed but only 30% educated |
| Motivation and Sleep | - Party or Lecture |
| Culture and Sleep | - Ritual - place - position - pattern |
| Dietary and Sleep | - Protein - causes alertness - carbs - promotes calm and relaxation - alcohol - small amounts promote large amounts limit REM and NREM - caffeine and nicotine - should be avoided |
| Melatonin and Sleep | - released to decrease wakefulness and promotes sleep, increases REM and NREM |
| Work Shift and Sleep | - causes sleep loss - anxiety, loneliness |
| Exercise and Sleep | - no less than 2 hours before bead or it will hinder sleep |
| Stress and Sleep | - anxiety decrease REM |
| Chronotherapuetics | - Strategic use of medications admin. - anti-hypertensives peak in early am - chemo less toxic at certain times |
| Dyssomnias | - Insomnia - hypesrsomnia - narcolepsy - Sleep apnea - Restless leg Syndrome - Sleep deprivation |
| Insomnia | - Excessive Sleepiness - most common 12 - 25% - difficult to treat - hard time falling asleep, inter. sleep, early waking, |
| Hypersomnia | - excessive sleep - usually daytime during work - |
| Narcolepsy | - uncontrollable desire to sleep during standing, driving, swimming, conversations. - Difficult to wake - neurologic disorder with sleep attacks - |
| Sleep apnea | - Absence of breathing or diminished breathing efforts - breathing may cease for 10 - 20 unto 2 min - excessive daytime sleepiness is a symptom - common in mid. aged man with short necks and are obese |
| Restless Leg Syndrome | - cant lay still - unpleasant creeping or tingling sensation - 25% have iron deficiency |
| Sleep Deprivation | - decrease in amount quality, and consistency - decrease in REM or NREM |
| Parasomnias | - patterns of waking behavior during sleep such as somnambulism, night terrors, enuresis, sleep related eating disorders, - usually outgrown |
Created by:
saraken2007
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