– CC = Dissatisfaction with sleep quantity or quality, associated with ≥1 following symptoms:
– Difficulty initiating sleep. (In children, this may manifest as difficulty initiating sleep without caregiver intervention.)
– Difficulty maintaining sleep, characterized by frequent awakenings or problems returning to sleep after awakenings. (In children, this may manifest as difficulty returning to sleep without caregiver intervention.)
– Early-morning awakening with inability to return to sleep.
– ≥ 3 nights per a week for ≥ 3 months with adequate opportunity to sleep
– Caffeine induced insomina = MC pharm cause of insomnia
– Sleep apnea is a common disorder in which you have one or more pauses in breathing or shallow breaths while you sleep.
– Breathing pauses can last from a few seconds to minutes. They may occur 30 times or more an hour. Typically, normal breathing then starts again, sometimes with a loud snort or choking sound.
– Cessation for >10 seconds → ↓ O2 saturation → Episodes of breathing cessation for 10 seconds during sleep, 10 – 15 events per hour with ↓ O2 saturation
– Associated signs → Snoring, gasping, GI reflux (GERD), nocturia, excessive moving, night sweats, morning headaches, daytime sleepiness, sleep attacks
– Psychological: Slow thought process, memory impairment, inattention
