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Sleep disorders
for z finale
27
Nursing
Undergraduate 2
05/08/2014

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Cards

Term
What percentage of patients seen for mental health care report sleep problems?
Definition
50-80%
Term
why do women have more sleep problems than men?
Definition
affected by sex hormones
Term
How many hours of sleep do newborns need? Preadolescents?
Definition
newborns need 17-18 hours, preadolescents need 10 hours
Term
how many hours of sleep do adolescents, adults, and elderly need?
Definition
adolescents need 9, adults and elderly 10
Term
The ratio of total sleep time to nocturnal time in bed is called?
Definition
sleep efficiency
Term
the pattern of NREM and REM sleep in a 90 to 110 minute cycle refers to?
Definition
sleep architecture
Term
______ ________ refers to the time between bedtime to the beginning of sleep.
Definition
sleep latency
Term
The __________ _______ ___________ is an endogenously generated rhythm close to 24 hours, synchronized with the day/night cycle.
Definition
Sleep-wake cycle
Term
What system in the brain maintains wakefulness as it decreases neurotransmitters that promote sleep take over?
Definition
the reticular activating system
Term
Physiologically, what substances/chemicals within the body can cause sleep disorders?
Definition
dopamine, GABA, adenosine, histamine, hypocretin, melatonin and cortisol
Term
What does the heart have to do with sleep disorders?
Definition
circadian rhythm disturbances
Term
Where is the internal pacemaker of our circadian system located?
Definition
hypothalamus
Term
suprachiasmatic nuclei (SCN)? what is that?
Definition
has to do with circadian rhythm and the internal pacemaker in the hypothalamus
Term
When the rhythms of the circadian rhythm is ________________, they peak at different times and can look like mental illness.
Definition
desynchronized
Term
What interdisciplinary treatment would be used for circadian rhythm sleep disorders? (give 3)
Definition
Chronotherapy: progressively delay bedtime 3 hours a day until target time is reached; light therapy; short acting hypnotics to induce sleep
Term
A ___________ records brain patterns during sleep in a sleep lab, confirms sleep disorders, describes sleep architecture, and any abnormalities.
Definition
polysomnography
Term
The "stimulus control" behavioral intervention for evidence-based treatments of insomnia refers to what?
Definition
Use bed only for sleep and sex, white noise, phone off, blacken windows, note on door, enlist support of family and friends, cool temp
Term
Elaborate on sleep restriction and relaxation treatment of insomnia
Definition
try to avoid naps and sleep only during regular sleep hours, relax by deep breathing, stretching, meditation, progressive relaxation, and/or visualization
Term
What sleep disorder is this?
-excessive sleepiness for at least 1 month, demonstrated by either daytime sleep episodes or sleeping extended periods at night, sleeps 8-12 hours, difficulty awakening, poor concentration and memory and excessive daytime sleepiness
Definition
hypersomnolence disorder
Term
This sleeping disorder is describes as:
-irresistible urge to sleep at any time of the day, regardless of the amount of previous sleep (3 x per week for 3 months)
Definition
narcolepsy
Term
Bilateral loss of muscle tone while awake and oriented after strong emotion such as laughter, lasts, a few seconds, eyelids may droop, knees may buckle, slump in chair
Definition
cataplexy
Term
The cause of narcolepsy when cataplexy is not involved, is a hypocretin _________ _______ in cerebral spinal fluid, affecting the circadian rhythm.
Definition
neuron deficiency
Term
A person with _______________ has this going on: breathing repeatedly stops and starts during sleep, shortness of breath relieved by sitting up, insomnia or hypersomnia, morning headaches and snoring.
Definition
central sleep apnea
Term
what causes central sleep apnea to occur?
Definition
brain is not sending proper signals to the muscles that control breathing
Term
What disorder is this:
Recurrent episodes of incomplete awakening from sleep, usually occurring during the first third of the major sleep episode accompanied by either sleep terrors or sleep walking
Definition
Non-REM Sleep arousal disorder
Term
What is this describing and for what disorder?
Recurrent abrupt terrified arousals from sleep usually with a panicky scream. Intense fear and autonomic arousal such as mydriasis, tachycardia, rapid breathing, sweating; inconsolable
Definition
Sleep terrors, Non-REM sleep arousal disorder
Term
What is used for PTSD from sleep terrors?
Definition
prazosin (Minipress)
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