S.R. is a 59-year-old man who comes to the clinic because his wife complains my snoring is difficult to live with.
As the clinic nurse, what routine information would you want to obtain from S.R.?
Question 2
After interviewing S.R., you note the following: S.R. is under considerable stress. He owns his own business. The stress of overseeing his employees, meeting deadlines, and carrying out negotiations has led to poor sleep habits.
He sleeps 3 to 4 hours per night. He keeps himself going by drinking 2 quarts of coffee and smoking
three to four packs of cigarettes per day. He has gained 50 pounds over the 2 years, leading to a current weight
of 250 pounds. He complains of difficulty staying awake, wakes up with headaches on most mornings, and has
midmorning somnolence. He states that he is depressed and irritable most of the time and reports difficulty
concentrating and learning new things. He has been involved in three auto accidents in the past year.
S.R.'s vital signs are 164/90, 92, 18, and Spo2 90 on room air. His examination findings are normal,
except for a few bruises over the right side of the rib cage. You inquire about the bruises, and S.R. reports
that his wife jabs him with her elbow several times every night. In her own defense, the wife states, Well,
he stops breathing and I get worried, so I jab him to make him start breathing again. If I don't jab him, I
find myself listening for his next breath and I can't go to sleep. You suspect sleep apnea.
Identify two of the main types of apnea, and explain the pathology of each.
Based on your findings, which type of sleep apnea do you believe S.R. has?
Identify at least five signs or symptoms of this type of sleep apnea, and put a star next to those symptoms that S.R. is experiencing.
How does the provider use diagnostic testing to diagnose sleep apnea?