test 4 Sleep
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test 4 Sleep
Nursing 101 fundamentals
Test 4 Sleep
What are the stages of NREM sleep?
1- very light, sleep
2- Processes slow more
3 & 4 Delta Sleep relaxed, dreaming occurs, HR & RR is 20-30% of what it is when awake, important growth hormones are released
What are the types of sleep?
what happens during Delta Sleep?
HR,RR,body processes continue to slow
more difficult to arose
not disturbed by sensory stimuli
This stage restores body's energy and Growth Hormones released
What is REM?
Not as restful
most dreams occur here
Brain is active
Brain metabolism increases
Called Paradoxical Sleep (EEG brain activity resemble wakefulness)
When does REM occur and how long does it last?
occurs about every 90 mins, lasts 5-30 min
What is important about stage 4
Energy and Growth Hormones
How long does it take for a person to go thru stages?
What happens to the stages of sleep as you get oder?
the stages get shorter
Not as restful
Most Dreams occur here
Brain is Active
Called Paradoxical Sleep (EEG Resemble Awake brain)
May be difficult to arose or wake up spontaneously
voluntary muscle tone decreased
Gastric secretions increase
HR & RR often Irregular
What is Delta Sleep?
how much of sleep during a night is NREM?
What happens in stage 1 NREM?
very light sleep
lasts only a few mins
person feels drowsy and relaxed
eyes roll from side to side
HR & RR drop slightly
awakened easily, may deny sleeping
When does Delta Sleep occur?
Stage 3 & 4
what is the only difference in stage 3 and stage 4
the amount of Delta Waves during a 30 sec period
What is Sundowners Syndrome
a pattern of symptoms that are triggered in the late afternoon early evening
What age group has a marked decline of Delta Sleep?
What are the methods of sleep promotion?
have an evening routine
how long does a complete sleep cycle last
90 to 110 min
to go through NREM and REM
what are the functions of sleep?
restores normal levels of activity
necessary for protein synthesis (cell repair)
what can lack of sleep cause?
decreased mental functioning
difficult making decisions
Sleep 16-18 hrs day
Sleep cycle lasts 50 mins
Crying requires assessment
Infant sleep cycle
half of infants sleep in light sleep
by age 1 sleep 14-15 hr, with 1-2 naps
Toddlers sleep cycles
toddlers sleep 12-14 hr
need consistent routine for bedtime
get grouchy when sleep need not met
School age children
need 10-11 hrs sleep
need consistency awaking at night and nightmares
What are some concerns for school age children not getting enough sleep
need 9-10hrs to prevent fatigue
change in sleep pattern is common (sleeping in, needing naps)
heavy periods=anemia fatigue
Adults and Sleep
Busy life stage
need 7-9 hr
What are symptoms of sleep deprivation in adults
drowsy during task/day
adult sleep factore
Older Adults and Sleep
sleep 7-9 hrs
earlier bedtime/wake up time
stage IV decreases
arouse more, longer to get back to sleep
what is sleep apnea?
frequent short breathing pauses during sleep
Waking up at Night
Difficulty falling asleep
what is Restless Leg Syndrome?
What is Treatment?
legs feel jumpy, can't lay still
: gentle exercise, hot/cold bathes, vibrations of feet and legs before bedtime
What are the different types of Sleep Apnea?
What is Obstructive Sleep Apnea?
Structures of oral cavity pharynx obstruct airway