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Insomnia
Questions inspired by PSC
8
Other
Undergraduate 4
03/04/2010

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Cards

Term
List the stages of sleep.
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
Term
What is REM rebound?
Definition
Occurs upon abrupt discontinuation of agents that suppress REM (eg. benzodiazepines, TCAs)

Result: vivid/frightening dreams
Term
Characteristics of insomnia:
Definition
1 or more of:
- difficulty falling asleep
- difficulty staying asleep
- not enough sleep
- not a restful sleep
- daytime impairment
Term
When to refer
Definition
- children <12
- 3 days of treatment not working
- pt needs meds >14 consecutive days
Term
List 4 sleep hygiene measures
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
Term
List 5 stimulus control measures
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
Term
OTC options:
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.
Term
What to do in case of morning grogginess
Definition
Decrease dose by 50%.
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