Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Sleep
Nursing- sleep
| Question | Answer |
|---|---|
| NREM(non-rapid-eye-movement) | about 75-80# of sleep at night Four stages |
| Loss of NREM sleep causes | immunosuppression, slow tissue repair, low pain tolerance,profound fatigue, and increases susceptibility to infection |
| REM sleep | occurs about every 90 min last from 5- 30 min |
| Arterial changes during NREM sleep | arterial BP falls, pulse decreases, peripheral blood vessels dilate, cardiac output decreases, metabolic rate decreases, growth hormone peak levels, intracranial pressure decreases |
| Loss of REM sleep causes | physiological disturbances such as apathy, depression, irritability, confusion, disorientation, hallucination, impaired memory, insomnia |
| amount of sleep for newborns | 16-18 hrs on irregular schedule with pds of 1-3 hrs awake. REM sleep immediately |
| amount of sleep for infants | 14-15 hrs per day. 5 hours a night with two naps per day |
| amount of sleep for toddlers | between 12-14 hours in ages 1-3 |
| amount of sleep for preschooler | (3-5 yrs old) 11-13 hrs |
| amount of sleep for school age | (5-12 yrs old) 10-11 hrs a night |
| Nurses should educate parents on what for infants and newborns? | self soothing techniques. Put them to bed when drowsy not asleep |
| Educate parents of toddlers | If they have enough attention from them during the day maintain a good sleep schedule will be healthy for everyone. Soothing objects |
| Educate parents of preschoolers | Maintain regular sleep schedule/ routine. Limit or eliminate TV at night to reduce nightmares. |
| Educate parents and school age children | Promote healthy sleep habits |
| amount of sleep for adolescents | (12-18 yrs old) 9-10 hrs |
| educate parents of teens | Dangers and symptoms of sleep deprivation. |
| Nocturnal emissions | wet dreams in boys. educate them that this is normal |
| risk if not getting enough sleep | hypertension, depression, heart attack, stroke, car crashes |
| what stage does alcohol disrupt in sleep | REM |
| L- tryptophan | turkey, warm milk |
| Insomnia | unrefreshed, daytime sleepiness, difficulty concentrating |
| risk with hypnotic sleep aids | may lead to dependency, do not address problem |
| Antihistamines | dizziness, sedation, hypotension Not to be used w/ asthma or glaucoma |
| sleep apnea | more than 5 pds/hour or five pauses lasting longer than 10 sec/h |
| obstructive sleep apnea | structural defect |
| central sleep apnea | brain injury |
| mixed sleep apnea | combination of structure and neuro |
| hypersomnia | sleep all night but cant stay awake during day CNS damage, kidney, liver, metabolic, thyroid |
| narcolepsy | onset age 15-30 adorall/amphetamines |
| bruxism | stage ii non rem, teeth grinding |
| periodic limb movement (PLMD) | legs jerk twice or three times/min during sleep |
| somnabulism | sleep walking occurs during 3 and 4 of non rem |
| valerian | mild insomnia/ RLS |
| chamomile | mild sedative, some herbs harmful to liver |
| sedative-hypnotic med | CNS depression Ambien- less rebound |
| antianxiety meds | decrease arousal - not in pregnant woman |
| Noctec (chloral hydrate) | 7-10 hrs |
| Lunesta (eszopiclone) | 6 hrs |
| Dalmane (flurazopam) | 47-100 hrs |
| lorazapam (Ativan) | 10-20 hrs |
| melatonin | 1 hr |
| temezepam (restoril) | 9-15 hrs |
| triazolam (halcion) | 1.5-5.5 hrs |
| zaleplon(sonata) | 1 hour |
| zolpidem (ambien) | 2.6 hrs rapid onset tolerance, withdrawl. dependence not demonstrated - give just prior to bed - contraindicated with alcohol - do not combine with other dugs that depress CNS |
| mondafinil(Provigil) | narcolepsy and excessive daytime sleepiness half life 15hrs - does not interfere with sleep at night |
Created by:
bns5192
Popular Nursing sets