8 Insomnia

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4 Terms

1
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  1. Underlying medical condition

  2. Medecines

  3. Environment noise

  4. Altered patterns

  5. Psychological

  6. Mental health

  7. Poor sleep hygiene

  8. Behavioural

Insomnia Aetiology 8

2
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  1. Has there been a change in their pattern of sleep?

  2. Daily routine

  3. Underlying medical condition

  4. recent travel

  5. Daytime sleeping

History taking questions Insomnia 5

3
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  1. Duration > 4 weeks in children

  2. Insomnia for which no cause can be ascertained

  3. Symptoms suggestive of anxiety or depression

Red flags/Referral symptoms to ask Insomnia 3

4
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  1. Maintain a routine, with regular bedtime and awakening time

  2. Food, snacks, alcoholic and caffeine-containing drinks should be avoided

  3. Avoid sleeping in very warm rooms

  4. Avoid stimulants and alcohol within 6 hours of going to bed

  5. Avoid exercise within 4 hours of bedtime

  6. No daytime naps

  7. No sleeping in to catch up on sleep

  8. No strenuous mental activity at bedtime (e.g., doing a crossword at bedtime)

  9. Solve problems before retiring

  10. Associate bed with sleep: try not to watch TV to listen to music

  11. If unable to get to sleep, get up and do something and return to sleep when sleepy

  12. Sedating antihistamines: diphenhydramine (DPH) ( NytolO

    • promethazine

    • melatonin for jet lag prevention

Medications to treat Insomnia 12 Insomnia