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Zzzzzzzz's for RN's
Sleep/Rest
| Question | Answer |
|---|---|
| A state of mental and physical relaxation while being awake, alert, & responsive to external stimuli | REST |
| A regularly occurring, reversible behavioral state in which consciousness, skeletal muscle activity, metabolism and response to external stimuli are decreased | SLEEP |
| A state of unconciousness from which the person cannot be aroused | COMA |
| REM sleep characteristics | metabolic needs of the brain are increased but the body is quiet |
| nonREM sleep characteristics | skeletal muscle activity increases metabolic needs even though the brain is quiet |
| Functions of Sleep | energy conservation, restoration |
| Percentage of sleep time spent in REM | 25% |
| Percentage of sleep time spent in nonREM | 75% |
| Four Stages of nonREM Sleep | 1. light sleep, 2. not as easy to rouse as Stage 1, 3. Delta wave sleep, 4. deepest sleep |
| NREM Sleep Physiological Changes | Metabolic rate slows, Cerebral blood flow decreases, VS decrease, active body movements |
| System causing sleep | BSR : Bulbar Synchronizing System |
| System waking from sleep | RAS: Reticular Activating System |
| Two sleep inducing neurotransmitters | serotonin, melatonin |
| 3 Major Categories of Sleep Disorders | Dyssomnias, Parasomnias, medical or psychiatric illness |
| Sleep Disorder characterized by altered amount, quality, timing of sleep | dyssomnia |
| Sleep Disorder characterized by abnormal behaviors or movements during sleep | parasomnia |
| 3 Types of Dyssomnia | Intrinsic, Extrinsic, Circadian |
| CPAP | Continuous Positive Airway Pressure |
| BiPAP | Bilevel Positive Airway Pressure |
| 3 Levels of Medical Treatment for Sleep Apnea | 1. Oral Appliance, 2. CPAP/BiPAP, 3. Surgery |
| Bruxism | Grinding teeth in sleep, a parasomnia |
| Somnambulism | sleepwalking, a parasomnia |
| Sleep enuresis | bed wetting, a parasomnia |
| two circadian types of dyssomnia | jet lag, shift work |
| Best prevention for sleeping problems during lifespan | establishing bedtime rituals |
| Times in women's lives often associated with sleep disturbance | pregnancy and menopause |
| Drugs used for enuresis | anticholinergic drugs, vasopressin, tricyclic antidepressants |
| Bootzin behavioral modification techniques | Instructions for promoting sleep |
| REM deprivation S/S | decr. alertness, apathy, irritability, mental changes |
| nonREM deprivation S/S | fatigue, decr. pain tolerance, anxiety, ^ cortisol, decr. immunity, delayed healing |
Created by:
okwhitney
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