Term
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Definition
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Term
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Definition
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Term
| what is monitored during polysomnography-4 |
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Definition
EEG
eye movement
strain belts
O2 |
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Term
| what factors associated with sleep apnea-5 |
|
Definition
obesity
snore
HTN
daytime sleepy
family hisotry |
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Term
| consequences of untreated OSA-3 |
|
Definition
cardio mortality
decreased deep sleep
decreased cognition |
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Term
| diagnoses of sleep apnea you need what perfromed |
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Definition
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Term
| severity of sleep apnea depends on |
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Definition
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Term
| 5-15 apnea episodes per hour categorized as |
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Definition
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Term
| 15-30 apnea episodes per hour categorized as |
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Definition
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Term
| >30 apnea episodes per hour categorized as |
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Definition
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Term
| if polysomnography shows 5 or more apnea episodes per hour- you need what else (1 out these 2 things) |
|
Definition
nocturnal breathing distrubed:snoring/gasping
daytime sleepiness |
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Term
| if polysomnography shows 15 or more epiosdes of apnea then need what toher symtpoms? |
|
Definition
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|
Term
| what are the 3 non pharm options for sleep apnea |
|
Definition
CPAP
biPAP
weight reduction |
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Term
| what are the two meds to be given for sleep apnea |
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Definition
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Term
| what do the meds for sleep apnea treat? |
|
Definition
| excessive daytime sleepiness |
|
|
Term
| the meds for sleep apnea are effective for how long |
|
Definition
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Term
| both meds for sleep apnea are metab by? |
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Definition
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Term
| modafinil inhibits what CYp |
|
Definition
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|
Term
| modafinil induces what CYPs?-2 |
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Definition
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|
Term
| modafinil reduces effectiveness of? |
|
Definition
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Term
| ADEs of modafinil and its enantiomer-4 |
|
Definition
| elevated BP, headache, GI, Steven's Johnson |
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|
Term
| for sleep apnea want to avoid what at night? |
|
Definition
|
|
Term
| what is the #1 treatment for sleep apnea? |
|
Definition
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|
Term
| when are meds considered for sleep apnea |
|
Definition
| PAP used correctly and still have daytime sleepiness |
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|
Term
| reevaluate and repeat sleep study in how mnay months after PAP intiaiton? |
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Definition
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|
Term
| what must be used for diagnosis of narcolepsy |
|
Definition
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|
Term
| for narcolepsy diagnosis need sleep atacks daily for how long? |
|
Definition
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|
Term
| with narcolepsy what things are present- (neeed at least one) 4 |
|
Definition
cataplexy
hypocretin deficeincy in CSF
polysomnography shows REM latency <15 min
latency test shows < 8 minutes |
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Term
| cataplexy is brought upon by |
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Definition
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|
Term
| non pharm treatment for narcolepsy-2 |
|
Definition
avoid caffeine/alcohol at bedtime
10-20 min naps 2 or more per day |
|
|
Term
| what can you prescribe for pt with narcolepsy and excessive daytime sleepy-2 |
|
Definition
modafinil/armodafinil
stimulants (methylphen/amphet) |
|
|
Term
| what do you prescribe for pt with cataplexy-3 |
|
Definition
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|
Term
| if pt has cataplexy and excessive sleepy in daytime what can you prescribe |
|
Definition
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Term
| Xyrem is what level on controlled substance |
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Definition
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Term
| what must happen before xyrem can be dispensed? |
|
Definition
| physician and patient registered |
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Term
| the pearl about Xyrem and its duraiton of action? |
|
Definition
| short- have to take another dose in middle of the night |
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|
Term
| how long do therapeutic effects of Xyrem last throughout the day |
|
Definition
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|
Term
|
Definition
| GI, parathesia, drunk, sleep wakling |
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Term
| Counseling pt for sodium oxybate dosing-2 |
|
Definition
2 doses before going to bed
take first at bedtime, 2nd 2.5-4 hrs later (set alarm) |
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Term
| counseling for pt on how to take sodium oxybate-3 |
|
Definition
empty stomach
sit down when takinf
no alcohol/or sedatives |
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|
Term
what pts should use caution with sodium oxybate?
why? |
|
Definition
CHF, HTN, renal disease
sodium content |
|
|
Term
| are restless leg syndrome symtpoms releived by movement? |
|
Definition
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|
Term
| what meds can worsen restless leg syndrome4 |
|
Definition
antipsychtoics
lithium
phenytoin
antihistamines |
|
|
Term
| what type of antidepressants can worsen RLS?-3 |
|
Definition
|
|
Term
| what antiemetics can worsen RLS-2 |
|
Definition
promethazine
metoclopramide |
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|
Term
| nonpharm treatment for RLS?-5 |
|
Definition
sleep hygeine
exercise
no alcohol/caffine/smoking
stop meds worsening it
compression devices |
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|
Term
what level do you check for with RLS?
what level means a worse RLS?
how can you treat this level? |
|
Definition
ferritin
<50
ferrous sulfate |
|
|
Term
RLS first line class for treatment?
2 examples |
|
Definition
DA agonists
(ropinrole, pramipexole |
|
|
Term
| what are 3 other choices for RLS? |
|
Definition
carbidopa
Levodopa
gabapentin |
|
|
Term
| when do you give gabapetnin for RLS? |
|
Definition
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