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Lack of sleep may lead to: mental health problems, injuries, decreased
mental health problems, productivity, and increased risk of death
injuries, decreased
productivity, and
increased risk of death
Excitatory
-acetylcholine
-norepinephrine
-histamine
-serotonin
Excitatory vs sleep-
-orexin
promoting
-dopamine
neurotransmitters
Sleep-promoting
-GABA
-melatonin
-adenosine
, Dopamine agonists
-pramipexole (Mirapex), ropinirole (Requip)
• adverse effects: daytime somnolence, nausea
Restless legs syndrome Iron
treatment -Check serum iron levels.
• Provide supplementation if needed
Gabapentin/ pregabalin
-severe or painful RLS
The _____________ and three corpora and associated blood vessels
__________________ give the
penis its erectile, sexual
function.
AKA impotence
-the inability to get and/or maintain a penile erection
that is firm enough for sexual relations
-can be due to physical or psychological causes
• affect any of the areas of the brain, reproductive
hormones, emotions, nerves, muscles, and/or blood
vessels that are involved with the phenomenon of
Erectile dysfunction
erection
• most common physical causes include heart
disease, atherosclerosis (clogged blood vessels),
high blood pressure, nerve damage, and stroke
• most common psychological causes include stress,
anxiety, depression, or communication issues with
the sexual partner
CDC recommends that 7-9
adults sleep ____ hours per
night
, The sleep cycle occurs 50-70 minutes
over approximately five distinct stages
_________ minutes with
_________ distinct stages
Stage 1: Drowsy
-Short period of non-REM sleep, includes
drowsiness & drifting off to sleep; can quickly
awaken; eye movements, breathing, & heart rate
slow, but occasional muscle twitches occur
Stage 2: Light Sleep
-Brain activity slows, but brief bursts of electrical
activity (sleep spindles) occur; eye movement stops;
more repeated sleep cycles occur in stage 2 than in
any other stage.
Stage 3: Moderate to Deep Sleep
-Heartbeat & breathing slow to lowest levels and
muscles relax; more challenging to wake; brain
Sleep Cycle Stages
waves slow, delta waves are present.
Stage 4: Deep Sleep
-Stages 3 and 4 are necessary to feel rested in the
morning; brain waves are almost exclusively delta
waves; sleepwalking, if present, occurs during this
stage
Stage 5 - REM sleep
-approximately 90 min after sleep begins; eyes move
rapidly from side to side with eyes closed; breathing
is irregular and faster than during other stages; heart
rate & BP are similar to waking levels; most dreaming
occurs during REM sleep; sleep paralysis can occur;
REM sleep decreases with age.