Risk Factors Physiological Obstructive Sleep Apnea

Changes
Ashley Dean
Abnormal Upper Abnormal Respiratory Obesity Sleep RNSG1263
Airway Structure Control Mechanism
Airway Muscles Relax
Nasal Obstruction Altered Tissue
& Muscle
Compliance Oropharynx Collapses Occluding Airway
Large Tonsils
& Adenoids
Reduction in Airway
Metabolic &
Endocrine Changes
Elongated during sleep
Soft Palette Decrease in O2 Moving Reduction of Gas Increase in CO2 Moving
Into Pulmonary Capillaries Exchange in Alveoli Out of Pulmonary Capillaries

Hypoxia Decrease in pCO2 In Blood

Decrease in pO2 In Blood

Stimulates Peripheral Chemoreceptors Stimulates Central Chemoreceptors

Send Excitatory Awakens Brain Sends Afferent Impulses to

Impulses to Medulla Medullary Inspiratory Neurons

Increases Ventilation

Airway Opens

Depressed Impotent Normal Respirations Resume

Irritable Moody
Increase in pO2 Decrease in pCO2
General Anesthesia
Problems Fall Back Asleep
Memory Problems Nocturia AMI

Medications Concerns Hyperventilation

Loss of Concentration Mood Swings Stoke

Sleep-deprived
Daytime Fatigue AM Headaches Hypertension Partners
Obstructive
Manifestations Complications Sleep Apnea