Term
| List the stages of sleep. |
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Definition
Non REM: Stages 1-4
- stage 1: transition between awake & sleeping,
- stage 2: light sleep
- stages 3-4: deep restorative sleep
REM: high level of neuronal activity, dreaming |
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Term
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Definition
Occurs upon abrupt discontinuation of agents that suppress REM (eg. benzodiazepines, TCAs)
Result: vivid/frightening dreams |
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Term
| Characteristics of insomnia: |
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Definition
1 or more of:
- difficulty falling asleep
- difficulty staying asleep
- not enough sleep
- not a restful sleep
- daytime impairment |
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Term
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Definition
- children <12
- 3 days of treatment not working
- pt needs meds >14 consecutive days |
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Term
| List 4 sleep hygiene measures |
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Definition
- regular bedtime/wakeup times
- avoid caffeine, nicotine, EtOH in evening
- avoid eating heavy meals at bedtime or going to bed hungry
- limit fluids at bedtime |
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Term
| List 5 stimulus control measures |
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Definition
- Go to bed only when sleepy
- Use bedroom for sleep and sex only
- If unable to sleep after 15-20 mins, get up and go to another, dimly lit room to read. Don't watch tv. Return to bed only when sleepy.
- Get up at the same time each day, even if you had a crappy sleep
- Avoid naps |
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Term
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Definition
diphenhydramine (drug of choice according to PSC, if no contraindications - glaucoma, BPH, elderly)
Doxylamine
Valerian
Melatonin - better for jetlag than insomnia, but can try it for a few nights. Decreases ovarian function - avoid in women trying to conceive. |
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Term
| What to do in case of morning grogginess |
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Definition
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