Term
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Definition
| A neurologic disorder of unknown cause characterized by: excessive daytime sleepiness and unusual REM-related phenomena |
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Term
| What are Primary Symptoms-Tetrad |
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Definition
| Daytime sleepiness: sleep attacks, microsleeps, relieft with naps |
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Term
| What is cataplexy and its symptoms? |
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Definition
| sudden loss of muscle tone with emotion, narcoleptics have |
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Term
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Definition
| When the body is paralyzed. Usually occurs in REM but will occur at sleep onset in narcoleptics |
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Term
| What are hypnagogic hallucinations and where are they found? |
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Definition
| THey are found in narcoleptics and are typically frightening hallucinations |
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Term
| What are some treatments of narcolepsy? |
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Definition
Tricyclics for cataplexy it reduces REM sleep
Naps, Behavioral and Support |
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Term
| What is normal nocturnal sleep like in narcoleptics? |
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Definition
Decreased sleep efficiency
shorter sleep latency
shorter REM latency
more awakenings |
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Term
| When does the onset of narcolepsy occur? |
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Definition
| Teens, childhood to middle age |
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Term
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Definition
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Term
| What is the typical initial symptom of narcolepsy? |
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Definition
| sleepiness, REM related symptoms occur later. |
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Term
| What are some of the tests that should be run for narcoleptic diagnosis? |
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Definition
family and clinical history
cataplexy
polysomnogram
MSLT |
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Term
| What does MSLT stand for? |
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Definition
| Multiple Sleep Latency test |
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Term
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Definition
It removes the masking factors:
activity, time of day, light, sound, ingested chemicals
It also measures speed of falling asleep (sleep latency) |
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Term
| What are some reasons to do in MSLT? |
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Definition
| narcolepsy, EDS (OSAS PLMD Insomnia), assess treatment effects |
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Term
| How long after a psg do you do an mslt? |
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Definition
| 1.5-3 hours on the hour then naps occur every 2 hours after a total of 4-5 naps |
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Term
| What do you tell the pt upon putting them to bed for an MSLT? |
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Definition
| To lay with eyes closed and to try to fall asleep |
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Term
| What do pt do between tests? |
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Definition
| Stay awake, no smoking 30 min before, no excersice/vigorous activity 15 min before. |
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Term
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Definition
| 4 EOG, respiratory flow, snoring sensor |
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