NURS 663 ANSWERS AND QUESTIONS SET A+
✔✔nocturnal wakefulness - ✔✔Sleep restriction therapy produces a gradual and steady
decline in ___________ ______________.
✔✔sexual, appetite - ✔✔In the elderly, sleep/_________/___________ issues might
already be there and not be a sign of depression.
✔✔IH - ✔✔Which sleep issue is persistent and unremitting? Idiopathic hypersomnia or
Kliene Levin syndrome?
✔✔KLS - ✔✔Which sleep issue usually last a few days up to several weeks and appear
1-10 times per year. Once the episode subsides, normal sleep/wake cycles occur; until
next episode. Idiopathic hypersomnia or Kliene Levin syndrome?
✔✔sleeping issues - ✔✔Idiopathic hypersomnia and Kliene Levin syndrome are both
types of
✔✔Frontotemporal dementia - ✔✔Which disease often responds adversely to
cholinesterase inhibitors with increased agitation and insomnia.
✔✔Frontotemporal - ✔✔This dementia: One form of this condition is Pick's disease
✔✔Aphasia, Apraxia, Agnosia - ✔✔3 A's of Alzheimer's disease
✔✔downs, AA, depression - ✔✔Alzheimer's disease may be genetic. Common in
____________ Syndrome, more common in ________, females and those with DM
type 2, HTN, high cholesterol, and ______________.
✔✔1, 4 - ✔✔Vascular dementia prevalence in aged 65+ is __% to ___%.
✔✔Ramelteon - ✔✔BEST SLEEP MED FOR ELDERLY- more natural, least
interactions
, ✔✔Ramelteon - ✔✔Targets melatonin receptors in the brain
✔✔Ramelteon - ✔✔FDA approved for insomnia (difficulty with sleep onset)
½ life is 1.5 hours
✔✔empty, M1, M2, agonist - ✔✔Ramelteon is a non benzo hypnotic, helps sleep onset
and increases sleep periods. Works best on ________ stomach.
binds selectively on _____ & ______ receptors as a full __________ (it opens the
gates, lets melatonin in).
✔✔Ramelteon - ✔✔Sedation is common side effect, dizziness, fatigue, headache
✔✔angioedema - ✔✔Ramelteon has Rare ____________ or anaphylaxis- do not
rechallenge
✔✔8mg - ✔✔Dose of Ramelteon HS
✔✔abnormal thinking, behavioral changes, complex behaviors, hallucinations,
worsening depression, and SI - ✔✔BBW of Ramelteon mneumonic: ABC-HWS
✔✔Modafinil - ✔✔FDA: Reducing excessive sleepiness r/t narcolepsy and shift work
sleep disorder
FDA: Reducing excessive sleepiness in OSAHA- adjunct tx for underlying airway
obstruction
✔✔Modafinil - ✔✔Dopamine Reuptake Inhibitor with most common SE:
Headache- dose dependant
✔✔200mg - ✔✔Modafinil dose in morning
✔✔rash, SJS - ✔✔BBW for Modafinil
✔✔benzo - ✔✔What class is Temazepam (Restoril)
✔✔15mg-30mg - ✔✔What dose for Temazepam (Restoril)
✔✔narrow-angle glaucoma, OSA - ✔✔Temazepam (Restoril): Contraindicated if
__________________, untreated _______, hx substance abuse
✔✔SI - ✔✔Temazepam (Restoril) BBW: may potentiate or increase ____ and suicidal
behavior, especially in children, adolescents, and young adults.
✔✔7.5 - ✔✔Elder patients w/ renal/hepatic impairment should be dosed ____mg of
Temazepam (Restoril)
✔✔nocturnal wakefulness - ✔✔Sleep restriction therapy produces a gradual and steady
decline in ___________ ______________.
✔✔sexual, appetite - ✔✔In the elderly, sleep/_________/___________ issues might
already be there and not be a sign of depression.
✔✔IH - ✔✔Which sleep issue is persistent and unremitting? Idiopathic hypersomnia or
Kliene Levin syndrome?
✔✔KLS - ✔✔Which sleep issue usually last a few days up to several weeks and appear
1-10 times per year. Once the episode subsides, normal sleep/wake cycles occur; until
next episode. Idiopathic hypersomnia or Kliene Levin syndrome?
✔✔sleeping issues - ✔✔Idiopathic hypersomnia and Kliene Levin syndrome are both
types of
✔✔Frontotemporal dementia - ✔✔Which disease often responds adversely to
cholinesterase inhibitors with increased agitation and insomnia.
✔✔Frontotemporal - ✔✔This dementia: One form of this condition is Pick's disease
✔✔Aphasia, Apraxia, Agnosia - ✔✔3 A's of Alzheimer's disease
✔✔downs, AA, depression - ✔✔Alzheimer's disease may be genetic. Common in
____________ Syndrome, more common in ________, females and those with DM
type 2, HTN, high cholesterol, and ______________.
✔✔1, 4 - ✔✔Vascular dementia prevalence in aged 65+ is __% to ___%.
✔✔Ramelteon - ✔✔BEST SLEEP MED FOR ELDERLY- more natural, least
interactions
, ✔✔Ramelteon - ✔✔Targets melatonin receptors in the brain
✔✔Ramelteon - ✔✔FDA approved for insomnia (difficulty with sleep onset)
½ life is 1.5 hours
✔✔empty, M1, M2, agonist - ✔✔Ramelteon is a non benzo hypnotic, helps sleep onset
and increases sleep periods. Works best on ________ stomach.
binds selectively on _____ & ______ receptors as a full __________ (it opens the
gates, lets melatonin in).
✔✔Ramelteon - ✔✔Sedation is common side effect, dizziness, fatigue, headache
✔✔angioedema - ✔✔Ramelteon has Rare ____________ or anaphylaxis- do not
rechallenge
✔✔8mg - ✔✔Dose of Ramelteon HS
✔✔abnormal thinking, behavioral changes, complex behaviors, hallucinations,
worsening depression, and SI - ✔✔BBW of Ramelteon mneumonic: ABC-HWS
✔✔Modafinil - ✔✔FDA: Reducing excessive sleepiness r/t narcolepsy and shift work
sleep disorder
FDA: Reducing excessive sleepiness in OSAHA- adjunct tx for underlying airway
obstruction
✔✔Modafinil - ✔✔Dopamine Reuptake Inhibitor with most common SE:
Headache- dose dependant
✔✔200mg - ✔✔Modafinil dose in morning
✔✔rash, SJS - ✔✔BBW for Modafinil
✔✔benzo - ✔✔What class is Temazepam (Restoril)
✔✔15mg-30mg - ✔✔What dose for Temazepam (Restoril)
✔✔narrow-angle glaucoma, OSA - ✔✔Temazepam (Restoril): Contraindicated if
__________________, untreated _______, hx substance abuse
✔✔SI - ✔✔Temazepam (Restoril) BBW: may potentiate or increase ____ and suicidal
behavior, especially in children, adolescents, and young adults.
✔✔7.5 - ✔✔Elder patients w/ renal/hepatic impairment should be dosed ____mg of
Temazepam (Restoril)
