sleep disorders and insomnia

insomnia

sleep apnea

restless leg syndrome (RLS)

hypersomnia disorders (narcolepsy)

circadian rhythm disorders

parasomnia

types of sleep disorders

insomnia

sleep disorder involving difficulty falling and/or staying asleep that can be chronic or acute

problems falling asleep

waking up too early

having trouble falling asleep again

lack of rest after sleeping (feels draggy)

what defines insomnia?

fatigue

poor concentration

impaired performance

malaise (draggy feeling)

behavioral problems

chronic pain

headache

nausea

symptoms of insomnia

stress

irregular sleep schedules

lifestyle

mental health disorders

physical pain

medications

neurological disorders

age

other sleep disorders

pregnancy

what can cause insomnia?

a sleep when you are fully relaxed and have dreams

what is rem?

set a sleep schedule

exercise daily

tame sleep anxiety

try relaxation techniques

make your room sleep-friendly

try sleep apps

eat sleep-friendly foods

consider acupuncture

mediate

do yoga

natural treatments for insomnia

oily fish

almonds

milk

chamomile tea

tart cherry juice

kiwi fruit

greek yogurt

legumes

bananas

foods that boost sleep

it boosts sleep and helps you relax but pharmacists don't push it since addiction si so high

what does red wine do to sleep?

mechanical

what kind of issue is sleep apnea?

sleep apnea

obstructive sleep apnea (OSA) is a syndrome characterized by periodic, partial, or complete obstruction of the upper airway during sleep

greater than or equal to 10 seconds

how long does a cessation of breathing occur with sleep apnea?

**OSA diagnosis???

10

1 out of every BLANK american is affected by aleep apnea

obesity

middle age

male gender

large neck

enlarged tonsils

risk factors of sleep apnea

STOP BANG

-5 or more means high risk

questionare to test for sleep apnea

gender

aging

race

endocrine disorders

alcohol

smoking

medications

post-menopause

abnormalities of head and neck

body mass index

large neck size

genetics

causes of sleep apnea

stroke

loss of vision

kidney disease

bone loss

dementia

depression and anxiety

heart disease

sexual problems

how does sleep apnea affect your whole body?

headaches

decreased concentration

insomnia

daytime sleepiness

dry mouth

decrease in verbal skills

frequent urination during night for adults of bedwetting for children

sexual dysfunction/decreased libido

diminished memory

depression

academic performance issues with children

fatigue

hyperactivity in children

anxiety

wirsened asthma and/or other respiratory conditions

symptoms of sleep apnea

sleep study

done to diagnose sleep apnea and watch what happens in your brain/body during sleep

correction of any underlying conditions

weight loss

PAP (positive airway pressure)

sleep position alterations

oral positionaning appliances (stops tongue from falling)

surgical corrections

sleep apnea treatments

burning

cramping

pain

numbness

itching

tingling

aching

crawling

symptoms of restless leg syndrome

chronic diseases

pregnancy

medications

lifestyle

contributing factors of restless leg syndrome

sleep hygiene

exercise (not right before bed)

avoid tobacco/alcohol before bed

iron supplementation

magnesium supplementation

warm bath/shower before bed

massage

correction of underlying medical conditions

MANY pharmacologic agents

restless leg treatments

hypersomnia

inability to stay awake and alert despite having adequate amount of sleep

primary hypersomnia disorder

narcolepsy and idopathic (type of hypersomnia)

secondary hypermonia disorder

medical conditions

insufficient sleep

medications and/or alcohol (type of hypersomnia)

attention

language

thought

learning

memory

perception

hypersomnia causes more than just sleepiness, ot also affects...

-through physical and psychiatric assessment

-treatment of underlying cause

-associated or underlying insomnia should be looked for and treated

-withdrawal of current medication causing hypersomnia

-stimulant drugs like amphetamine given in the morning or evening

-nonsedative antidepressant drugs such as serotonin specific reuptake inhibitors

treatment of hyperosmnia

circadian rhythm disorder

caused by disruptions in sleep cycles (jet lag, work shift changes)

allow time to adjust before performing tasks

sleep in dark quiet rooms

avoid excessive caffeine

minimize alcohol

treatment for circadian rhythm disorder

parasomnia

state between sleep and wakefulness where aptient appears to be alert but not responsive

NREM related

REM related

other

3 types of parasomnia

REM related parasomnia

-REM sleep behavior disorder

-recurrent isolated sleep paralysis

-nightmare disorder

NREM related

-confusional arousal

-sleepwalking

-night terrors

-sleep-related sexual abnormal behavior

other parasomnia

-exploding head syndrome

-sleep-related hallucinations

-bedwetting

chronic stress

PTSD

GAD

shift work

causes of parasomnia

1- sleep hygiene

2- avoid alcohol

3- avoid recreational drugs

4- provide safe sleep environment

4 steps of parasomnia treatment