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rest and sleep
test three CM, part 3
56
Nursing
Undergraduate 3
11/17/2011

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Cards

Term
how many sleep cycles are there per night?
Definition
4-5 (lasting 90-100 minutes)
Term
which sleep stage consumes 5-50% of sleep time?
Definition
non REM 1 or 2
Term
what is the deepest stage of sleep?
Definition
non REM 4
Term
what stage are vital signs significantly reduced?
Definition
non REM 4
Term
what stage does enuresis(incontinence) and sleep walking occur?
Definition
non REM 4, and non REM 3 or 4 (delta/deepest sleep)
Term
what stage beings about 90 minutes after sleep begins?
Definition
REM
Term
what stage is the growth hormone released?
Definition
non REM 4
Term
what stage is important for cognitive restoration?
Definition
REM (lasts 20 mins: eye movements, change in vitals, lose skeletal muscle tone, dream in color, decrease in GI secretions)
Term
when do dreams occur?
Definition
non REM 4 and REM
Term
when is there rapid eye movement and small muscle twitching?
Definition
REM
Term
what stage does REM enter?
Definition
REM 2
Term
what stage do older adults experience most?
Definition
1
Term
what stage do older adults achieve the least?
Definition
3 or 4
Term
circadian rhythm (affects of sleep)
Definition
disturbances make feel irritable, restless, effect immune system
Term
light (affects on sleep)
Definition
circadian rhythms through HYPOTHALAMUS, no bright lights
Term
serotonin neurotransmitter
Definition
induces sleep
Term
drugs and alcohol (barriers to sleep)
Definition
disrupt REM and non REM 4(delta)
Term
caffeine and smoking are what kind of barriers to sleep
Definition
stimulants
Term
exercise (when to do it)
Definition
no more than 3-4 hours before bed, its a stimulant
Term
HTN (affect on sleep)
Definition
early awakening, fatigue
Term
hypothyroidism (affect on sleep)
Definition
decrease non REM 4
Term
Hypnotic drugs (affect on sleep)
Definition
temp increase, increase apneatic effects, 'hangover effect'
Term
beta blockers (affect on sleep)
Definition
night mares, insomnia
Term
benzodiazipines (affect on sleep)
Definition
increase sleep during day, napping
Term
narcotics (affect on sleep)
Definition
suppress REM sleep, increase drowsiness
Term
anticonvulsants (affects on sleep)
Definition
decrease REM, and increase daytime sleepiness
Term
normal sleep patterns: neonates
Definition
longest sleep 17-20 hrs
Term
normal sleep patterns: infants
Definition
3m+ 10-13 hrs, food influences
Term
normal sleep patterns: toddlers
Definition
2 yrs, should sleep through whole night, 8-10 hrs, routine nap time
Term
normal sleep patterns: preschoolers
Definition
sleep 12 hrs, possible naps
Term
normal sleep patterns: school agers
Definition
6 yrs, 9-10 hrs (night mares about death)
Term
normal sleep patterns: adolescents
Definition
get 6 1/2 - 7 1/2 but need 9-11 hrs (problems fatigure, hard to do hw)
Term
sleep deprivation signs
Definition
fall asleep in car driving frequently, have to wake them up most mornings, cranky irritable, aggressive, overemotional, crashing way before bedtime, (yes to anything means not enough sleep)
Term
INTRINSIC factors affecting sleep
Definition
nocturia, RLS, wt gain/loss, exercise before bed, fatigue, leg cramps, pain, anxiety
Term
EXTRINSIC factors affecting sleep
Definition
hospitialization, lifestyle, hot/cold, light, noise, allergies, bed partner, seasonal changes
Term
insomnia
Definition
trouble beginning and staying asleep, lay awake, get up way too early, not refreshed
Term
insomnia treatment:
Definition
sleep environment: ocean sounds, positive thoughts beliefs , limit time in bed: get up move around, read a book, long term medications
Term
narcolepsy:
Definition
overwhelming daytime sleepiness, nighttime sleep beings with REM, cataplexy (muscle paralysis), hallucinations, fragmented sleep: so tired talking to someone and just fall asleep
Term
narcolepsy treatment:
Definition
stimulants, antidepressants, 20 mins naps, chewing gum, increasing protein and vitamins
Term
sleep apnea
Definition
5 episodes in an hour, occur during REM and nonREM
Term
obstructive sleep apnea
Definition
of tonsils, adnoids, short neck
Term
central sleep apnea
Definition
problem in the brain
Term
parasomnias
Definition
behaviors that occur during sleep
Term
somnambolism
Definition
sleep walking, nonREM 3 and 4, happens in kids most
Term
bruxism
Definition
TMJ related
Term
night terrors
Definition
nonREM 3, scream and not really awake, males 7 yrs, increased pulse, (JR)
Term
symptoms of sleep deprivation
Definition
ptosis; droopy eyelids, arrhythmias, blurred vision, cluminess, decrease reflexes, decreased alertness,
Term
assessment of sleep patterns: electrooculogram
Definition
eye movements
Term
assessment of sleep patterns: electroencephalogram
Definition
brain waves (EEG)
Term
assessment of sleep patterns: electromyogram
Definition
muscle movements
Term
preventative care management strategies
Definition
avoid caffeine, alcohol, nicotine, late in evening, carbs and milk and light snacks good, decrease fluids 2-4 hrs before bed, warm shower or bath
Term
menopause interventions
Definition
herbal remedies, natural products, exercise to decrease stress, fan in bedroom
Term
new parents
Definition
lose 700 hrs sleep, first year, not get up 3+ nights/switch off,
Term
when to give sleep inducing drugs
Definition
not after 2 am
Term
herbal teas
Definition
kava can cause sleep problems due to anxiety
Term
melatonin
Definition
neuro-hormone that helps control circadian rhythm
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