NR 547 Differential Diagnosis in Psychiatric-Mental
Health across the Lifespan Practicum - Chamberlain
, NR 547 Week 4
1. Lack of sleep may lead to: mental health problems, injuries, decreased
productivity, and increased risk of death: mental health problems, injuries,
de- creased productivity, and increased risk of death
2. Excitatory vs sleep-promoting neurotransmitters: Excitatory
-acetylcholine
-norepinephrine
-histamine
-serotonin
-orexin
-dopamine
Sleep-promoting
-GABA
-melatonin
-adenosine
3. Restless legs syndrome treatment: Dopamine agonists
,-pramipexole (Mirapex), ropinirole (Requip)
• adverse effects: daytime somnolence, nausea
Iron
-Check serum iron levels.
• Provide supplementation if needed
Gabapentin/ pregabalin
-severe or painful RLS
4. The and give the penis its
erectile, sexual function.: three corpora and associated blood vessels
5. Erectile dysfunction: 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 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
com- munication issues with the sexual partner
6. CDC recommends that adults sleep hours per night: 7-9
7. The sleep cycle occurs over approximately minutes with
distinct stages: 50-70
minutes five distinct stages
8. Sleep Cycle 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
Health across the Lifespan Practicum - Chamberlain
, NR 547 Week 4
1. Lack of sleep may lead to: mental health problems, injuries, decreased
productivity, and increased risk of death: mental health problems, injuries,
de- creased productivity, and increased risk of death
2. Excitatory vs sleep-promoting neurotransmitters: Excitatory
-acetylcholine
-norepinephrine
-histamine
-serotonin
-orexin
-dopamine
Sleep-promoting
-GABA
-melatonin
-adenosine
3. Restless legs syndrome treatment: Dopamine agonists
,-pramipexole (Mirapex), ropinirole (Requip)
• adverse effects: daytime somnolence, nausea
Iron
-Check serum iron levels.
• Provide supplementation if needed
Gabapentin/ pregabalin
-severe or painful RLS
4. The and give the penis its
erectile, sexual function.: three corpora and associated blood vessels
5. Erectile dysfunction: 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 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
com- munication issues with the sexual partner
6. CDC recommends that adults sleep hours per night: 7-9
7. The sleep cycle occurs over approximately minutes with
distinct stages: 50-70
minutes five distinct stages
8. Sleep Cycle 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
