• Shuffle
    Toggle On
    Toggle Off
  • Alphabetize
    Toggle On
    Toggle Off
  • Front First
    Toggle On
    Toggle Off
  • Both Sides
    Toggle On
    Toggle Off
Front

How to study your flashcards.

Right/Left arrow keys: Navigate between flashcards.right arrow keyleft arrow key

Up/Down arrow keys: Flip the card between the front and back.down keyup key

H key: Show hint (3rd side).h key

image

PLAY BUTTON

image

PLAY BUTTON

image

Progress

1/11

Click to flip

Card Range To Study

through

11 Cards in this Set

  • Front
  • Back
Where is melatonin excreted from?
The pineal gland
Some causes of age related sleep disorders
Periodic limb movements
Restless legs syndrome
Sleep-related breathing disorders such as apneas
Illness
Pain
Nocturia
Dementia
Alcoholism
Depression (the most significant cause of insomnia)
Bereavement
MEDICATION SIDE EFFECTS (steroids, theophylline, pseudoephedrine, beta agonists)
Caffeine, nicotine, ETOH
Symptoms of age related sleep disorders
Irritability
Daytime sleepiness
Fatigue
Problems concentrating
Depression
Anxiety
Severe sleep deprivationhallucinations
Some assessment questions for sleep disorders
Difficulty falling asleep?
Awakening in the middle of the night? Or difficulty staying asleep?
Early morning awakening? (depression)
Do you feel rested once you wake? (nonrestorative sleep)
What is sleep hygiene?
Regular morning rising (earlier than 9)
Avoid daytime napping
Exercise during the day but not after 6pm
Avoid caffeine, nicotine, ETOH
Avoid large meals before bed, but light snack ok
Bed is for sleep (not t.v. watching or eating)
Follow a nighttime routine
Avoid excessive fluid intake (no fluid 2-3 hours before bed)
Ensure a comfortable environment, minimize light/noise and comfortable room temperature
Definition of transient sleep disorder
No more than a week
Definition of short term/ subacute sleep disorder
1 week to 3 months
Definition of chronic sleep disorder
Longer than 3 months
Should only use short or intermediate acting in the elderly
Benzodiazepenes
Cautions in perscribing benzodiazepenes
Potential for rebound insomnia
Increased risk of falls
Half-life is longer in the elderly
Advantages of using nonbenzodiazepenes in the elderly
Fewer side effects
Less rebound insomnia with withdrawal
Less daytime sleepiness