sleep apnea
absence of breathing for at least 10 seconds during sleep bw snoring intervals
sleep apnea interventions
CPAP weight loss decrease alcohol no tobacco surgery
sleep apnea complications
pulmonary hypertension
cardiac dysrhythmias
left sided HF
risk factors for sleep apnea
obesity, large neck circumference, smoking, alcohol, familial
improve sleep interventions
sleep environment sleep routine sleep hygiene daytime naps decrease caffeine, alcohol, nicotine no exercise 2 hrs before bed no heavy meals
Stage 1 NREM
few minutes long lightest level of sleep easily aroused decreased physiological activity gradual fall in vital signs and metabolism
Stage 2 NREM
10-20 minutes period of sound sleep easily aroused relaxation progresses body functions continue to slow
Stage 3 NREM
15-30 minutes initial stages of deep sleep muscles are completely relaxed vitals decline but remain regular rarely moves more difficult to arouse
Stage 4 NREM
15-30 minutes deepest stage of sleep vitals significantly lower than during waking hours sleepwalking, enuresis difficult to arouse
REM
usually starts 90 minutes after falling asleep last about 20 minutes vivid, full color dreams rapid eye movement fluctuating HR, RR increased or fluctuating BP loss of skeletal muscle tone increased gastric secretions very difficult to arouse
purpose of sleep
provides healing and restoration