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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