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Risk Factors Physiological Obstructive Sleep Apnea

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