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Rest/Sleep
Module I- Roark 102 Rest & Sleep- Calhoun
| Question | Answer |
|---|---|
| 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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