Shared Flashcard Set

Details

Exam 2
Lecture 12 part 2
50
Art/Design
12th Grade
09/30/2013

Additional Art/Design Flashcards

 


 

Cards

Term
Provigil
Definition
Modafinil
Term
Nuvigil
Definition
Armodafinil
Term
what is monitored during polysomnography-4
Definition
EEG
eye movement
strain belts
O2
Term
what factors associated with sleep apnea-5
Definition
obesity
snore
HTN
daytime sleepy
family hisotry
Term
consequences of untreated OSA-3
Definition
cardio mortality
decreased deep sleep
decreased cognition
Term
diagnoses of sleep apnea you need what perfromed
Definition
polysomnography
Term
severity of sleep apnea depends on
Definition
apnea episodes per hour
Term
5-15 apnea episodes per hour categorized as
Definition
mild
Term
15-30 apnea episodes per hour categorized as
Definition
moderate
Term
>30 apnea episodes per hour categorized as
Definition
severe
Term
if polysomnography shows 5 or more apnea episodes per hour- you need what else (1 out these 2 things)
Definition
nocturnal breathing distrubed:snoring/gasping
daytime sleepiness
Term
if polysomnography shows 15 or more epiosdes of apnea then need what toher symtpoms?
Definition
none
Term
what are the 3 non pharm options for sleep apnea
Definition
CPAP
biPAP
weight reduction
Term
what are the two meds to be given for sleep apnea
Definition
modafinil
armodafinil
Term
what do the meds for sleep apnea treat?
Definition
excessive daytime sleepiness
Term
the meds for sleep apnea are effective for how long
Definition
6-8 hrs
Term
both meds for sleep apnea are metab by?
Definition
3A4
Term
modafinil inhibits what CYp
Definition
2C19
Term
modafinil induces what CYPs?-2
Definition
3A4
1A2
Term
modafinil reduces effectiveness of?
Definition
oral contraceptives
Term
ADEs of modafinil and its enantiomer-4
Definition
elevated BP, headache, GI, Steven's Johnson
Term
for sleep apnea want to avoid what at night?
Definition
CNS depressants
Term
what is the #1 treatment for sleep apnea?
Definition
PAP
Term
when are meds considered for sleep apnea
Definition
PAP used correctly and still have daytime sleepiness
Term
reevaluate and repeat sleep study in how mnay months after PAP intiaiton?
Definition
1-3
Term
what must be used for diagnosis of narcolepsy
Definition
polysomnography
Term
for narcolepsy diagnosis need sleep atacks daily for how long?
Definition
3 months
Term
with narcolepsy what things are present- (neeed at least one) 4
Definition
cataplexy
hypocretin deficeincy in CSF
polysomnography shows REM latency <15 min
latency test shows < 8 minutes
Term
cataplexy is brought upon by
Definition
emotions
Term
non pharm treatment for narcolepsy-2
Definition
avoid caffeine/alcohol at bedtime
10-20 min naps 2 or more per day
Term
what can you prescribe for pt with narcolepsy and excessive daytime sleepy-2
Definition
modafinil/armodafinil
stimulants (methylphen/amphet)
Term
what do you prescribe for pt with cataplexy-3
Definition
TCA
venalfaxine
fluoxetine
Term
if pt has cataplexy and excessive sleepy in daytime what can you prescribe
Definition
sodium oxybate
Term
Xyrem is what level on controlled substance
Definition
C3
Term
what must happen before xyrem can be dispensed?
Definition
physician and patient registered
Term
the pearl about Xyrem and its duraiton of action?
Definition
short- have to take another dose in middle of the night
Term
how long do therapeutic effects of Xyrem last throughout the day
Definition
all day
Term
ADEs of xyrem-4
Definition
GI, parathesia, drunk, sleep wakling
Term
Counseling pt for sodium oxybate dosing-2
Definition
2 doses before going to bed
take first at bedtime, 2nd 2.5-4 hrs later (set alarm)
Term
counseling for pt on how to take sodium oxybate-3
Definition
empty stomach
sit down when takinf
no alcohol/or sedatives
Term
what pts should use caution with sodium oxybate?
why?
Definition
CHF, HTN, renal disease
sodium content
Term
are restless leg syndrome symtpoms releived by movement?
Definition
yes
Term
what meds can worsen restless leg syndrome4
Definition
antipsychtoics
lithium
phenytoin
antihistamines
Term
what type of antidepressants can worsen RLS?-3
Definition
SSRI
SNRI
TCA
Term
what antiemetics can worsen RLS-2
Definition
promethazine
metoclopramide
Term
nonpharm treatment for RLS?-5
Definition
sleep hygeine
exercise
no alcohol/caffine/smoking
stop meds worsening it
compression devices
Term
what level do you check for with RLS?
what level means a worse RLS?
how can you treat this level?
Definition
ferritin
<50
ferrous sulfate
Term
RLS first line class for treatment?
2 examples
Definition
DA agonists
(ropinrole, pramipexole
Term
what are 3 other choices for RLS?
Definition
carbidopa
Levodopa
gabapentin
Term
when do you give gabapetnin for RLS?
Definition
at 5 pm
Supporting users have an ad free experience!