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Cardio Pulm

Sleep

QuestionAnswer
What is the most common sleep disorder in the US? 2nd most? insomnia, sleep apnea
What are the two stages of sleep? Non-REM,REM
What sleep stage...body resting/brain active? REM sleep
What sleep stage... brain resting/body active? non-REM sleep
What is the initial stage of sleep that involves nonrapid eye movements? Non-REM
How long does non-REM sleep last? 60-90 minutes
NREM sleep Represents __% of sleep period with restorative delta sleep in Stage 3 75
What stage of sleep involves rapid eye movement, alpha waves similar to wake, hypoventilation and apnea considered normal, irregular HR and eye movement? REM
REM sleep lasts __-__ minutes in 60-90 minute intervals. 5-40
How many classes of Mallampati Score are there? 4
What calss of Mallampati class? full visibility of tonsils, uvula, soft/hard palate Class 1
What calss of Mallampati Class? upper tonsils, uvula & soft/hard palate Class 2
What calss of Mallampati class? soft/hard palate, base of uvula Class 3
What calss of Mallampati class? hard palate only Class 4
Normal to mild OSA is associated with what Mallampati classes? 1-2
Moderate to severe OSA is associated with what Mallampati class? class 3
Severe OSA is associated with what Mallampati Score? class 4
What are the following signs and symptoms of? Morning tiredness, EDS, morning headaches, recent weight gain, impaired memory or attention, changes in mental status, lethargy, hyperactive behaviors, depression, hypertension, pedal edema, neck size > 17” OSA(obstructive sleep apnea)
The Epworth Sleepiness Scale is used to asses what? ESS score greater than or equal to __ signals SDB. EDS(excessive daytime sleepiness). 9
The Berlin Questionnaire assess what? snoring
What are the three classifications of sleep apnea? obstructive, central, and mixed
Sleep apnea is defined as cessation of breathing for __ seconds or longer with ≥ __ apneic episodes in both non-REM and REM over a 6 hour study 10, 30
a decrease of airflow of >50% from wakeful airflow and decreased SpO2 of at least 4% defines what? hypopnea
pts with this appear to be breath holding until gasping for breath, may awaken patient & cause them to sit upright Pickwickian Syndrome
What are the 5 general characteristics of OSA? overweight, downs Syndrome, narrow upper airways, hypothyroidism, testosterone administration
pt has ≥ 30 apnea episodes in 6 hours, medulla fails to signal respiratory muscles. cessation of airflow with no inspiratory muscular effort...what form of sleep apnea? central sleep apnea
All of the following are associated disorders of what? Idiopathic (hypoventilation syndrome), Encephalitis, Brainstem neoplasm or infarct, Hypothyroidism Central sleep apnea(CSA)
Normal body weight Mild snoring Insomnia, Daytime fatigue, depression, and impotence are clinical manifestations of what? CSA
__ events/hour of hypopneas, obstructive apneas or central apneas requires intervention! 15
What should the I:E ratio for PEP be? 1:3 or 1:4
When doing PEP, how many breaths should the pt take followed by how many huff coughs? 10-20 breaths, 2-3 huff coughs
This device mechanically and chemically mobilizes airway secretions by utilizing mini-bursts of air delivered at high frequencies, through a mouthpiece IPV (intrpulmonary percussive ventilation)
This device uses a combo of PEP and vibration for airway clearance. Acapella
Created by: txst spr 2010