PedSleep - Sleep& Sleep Issues in the Pediatric...

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Unformatted text preview: Sleep & Sleep Issues in the Pediatric Population Kids Sleep A lot • Sleep is a common discussion point among parents and doctors Many Issues from birth to adolescence…. • SIDS • Co-sleeping • Night-wakenings • Bed-wetting • Nightmares • Sleepwalking & Sleeptalking • Timing of High School start times… Sleep Physiology Wakefulness REM Indeterminate NREM Wakefulness Stage 1 NREM • θ Waves Stage 2 NREM • Sleep Spindles • K-Complexes Stage 3 NREM • 20-50 % δ Waves Stage 4 NREM • > 50 % δ Waves Stage REM Alpha Waves Conjugate Eye Movements Sleep Stages Overnight NREM is more common in the first part of sleep. REM is more common in the latter half of sleep Children’s Sleep Architecture Differs from Adults • More REM • Earlier REM • More frequent REM • More Total Hours of Sleep REM & NREM Sleep by Age 2 4 6 8 10 12 14 16 18 1 - 3 M 3 - 5 M 6-23 M 2 - 3 Y 3 - 5 Y 5 - 9 Y 10-13 Y 14-18 Y 19-30 Y Total Hrs Sleep Total Daily Sleep by Age 2 4 6 8 10 12 14 16 18 1 - 3 M 3 - 5 M 6-23 M 2 - 3 Y 3 - 5 Y 5 - 9 Y 10-13 Y 14-18 Y 19-30 Y Total Hrs Sleep Sleep in Preemies • “Indeterminate Sleep” – Neither REM nor NREM – Characterized by “Delta Brushes” and temporal spikes – Predominant pattern at 34 wks – Disappears by 3 months of age • As gestational age increases… – maximum EEG sleep activity switches from temporal to frontal – Indeterminate Sleep decreases – Synchrony between the 2 hemispheres increases • The preemie’s sleep legacy is easier arousal later on… Normal Infant Sleep Patterns • 18 hours a day, 50% REM, at birth • Infants start sleep with REM • Most sleep through night by 3 months –...
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This note was uploaded on 12/24/2011 for the course STEP 1 taught by Professor Dr.aslam during the Fall '11 term at Montgomery College.

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PedSleep - Sleep& Sleep Issues in the Pediatric...

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