Lectures

Insomnia: Management

by Charles Vega, MD
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    About the Lecture

    The lecture Insomnia: Management by Charles Vega, MD is from the course Acute Care.


    Included Quiz Questions

    1. Sleep hygiene
    2. One-week benzodiazepine taper
    3. Diphenhydramine as needed
    4. Melatonin agonists
    5. Zolpidem trail for 1 month
    1. Go to bed only when tired as opposed to a regular set time regardless of state of alertness
    2. Moderate intensity exercise right before bedtime to expend extra energy and tire out
    3. Eat a heavy meal or snack right before bed time to settle the stomach and initiate "rest and digest" parasympathetic nervous system
    4. Avoid getting out of bed if experiencing night-time awakenings to prevent "fully" waking up
    5. Drink alcohol right before bedtime to relax the body
    1. Increased anxiety
    2. Increased falls
    3. Disruption of sleep architecture
    4. Daytime somnolence
    5. Cognitive impairment
    1. Treat her depression
    2. Treat her insomnia
    3. Perform a urine toxicology test
    4. Obtain a complete blood panel and thyroid function evaluation
    5. Start chronic pain opioid drug therapy

    Author of lecture Insomnia: Management

     Charles Vega, MD

    Charles Vega, MD


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