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Ch 43 - Sleep

Fundamentals of Nursing

Sleep disorder causing disruption in sleep; common in geriatrics; constant waking up to urinate nocturia
perceived lack of sleep; difficultly falling asleep or staying asleep d/t poor sleep hygiene insomnia
pathological, dangerous; lack of airflow for >10 sec during sleep; disrupt deep sleep; happens during REM sleep apnea
most common sleep apnea obstructive sleep apnea
What type of sleep apnea is the relaxation of the oral cavity or throat that blocks the airway and results in loud snoring? obstructive sleep apnea (OSA)
Risk factors for OSA enlarged tonsils; large neck circumference; deviated nasal septum; nasal polyps; low O2 Sat through out night
S/S for OSA loud snoring; excessive daytime sleepiness (EDS); fatigue
What percentage of pt are diagnosed with OSA? 90%
OSA increases risk for? HTN; MI; CVA
What percentage of pt are diagnosed with CSA? 10%
What is central sleep apnea (CSA)? dysfunction in the brain's respiratory center; impulse to breath temporarily fails
S/S of CSA mild snoring; insomnia/fatigue; frequent awakenings
What is used to treat OSA or CSA? CPAP - to maintain airway, O2 sat
dysfunction of sleep-wake regulation; daytime sleep attacks; REM sleep within 15-20 minutes narcolepsy
Created by: spham