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Polysom Finals.
Polysom Finals.
Discuss the process on how to start the sleep study Last name of the patient
Discuss the process on how to close the sleep study Referring Physician – ENT doctor
Interpreting Physician – doctors of
sleep
medicine
Patient’s information
Last name
First name
Middle name
*They will have *Send the results *Proceed to the Patients ID
to let the patient to the sleep sleep study with Birthday
Sign the document- doctor sleep facility and Gender
tation explain the
Contact information
procedure and
after that they
will gave to put
some electrodes
(EEG, EOG, EMG)
CALIBRATION
• Calibration is done to check that all the channels are
= so after ito na ang makita mga different waveforms.
getting adequate information and are free from
artifacts.
- meaning that you have to do that in order for you to • For electrical calibration, we usually pass a current
check if it is functioning well and you could get of around 50 μV in the EEG channels and look for
accurate data from that the waveform.
- check the system itself kung ga function ba • All the channels must have similar waveform during
- maraming artifacts can lead to misdiagnosing a calibration.
patient • This should be done for at least 10 seconds
• This should be done before every study. • For optimal quality signals, the of the electrode
• The position of calibration command varies among should be below 5 Kohms.
software provided by different manufacturers
= just click the calibration signal in the tool, then magca- BIOCALIBRATION
calibrate na ito siya • After calibration, it is time to check that all channels
are working properly, that is, bio- calibration.
• This should be done by providing the commands to
the patient and checking that the respective
channels are working properly.
• To do this, please give the following commands and
look for the changes in the display on the monitor.
1. RECORD WITH EYES OPEN AND EYES CLOSED FOR AT 5. ASK THE PATIENT TO OPEN HIS/HER EYES.
LEAST 30 SECONDS DURATION EACH 6. NOW ASK THE PATIENT TO STOP BREATHING FOR
2. ASK THE PATIENT TO BLINK HIS/HER EYES 5 TIMES. 10 SECS
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SUMMARY!
okay so sa documentation natin we have examples of subjective and objective events that need documentation during
your polysomnography.
• Subjective - it comes from your patient. like feeling ni patient. Say for example “Gwapo kayo akong tulog
gabie”
- Lahat ng hindi mo makita pero kayang I voice out ni patiet
• Objective - we can observe the patient and we can also use our five senses to do that. “Nagsabi sleep tech hala
nakaabot gyod siyag N3 or deep sleep, maganda yung quality ng sleep niya”. Objective cues these are the
things na makita natin and ma observe natin, and ma measure natin for example vital signs of the patient
- you can observe this through your monitor, through using different equipment and also you can observe
this with your five senses.
PRE-SLEEP QUESTIONNAIRE – questionnaire given to patient before starting the sleep study
POLYSOM | LEC 3 1ST SEMESTER | FINALS
POST-DIAGNOSTIC NIGHT QUESTIONNAIRE – given after the study, this questionnaire is for patients lang na ang
kanilang sleep study is purely for diagnostic only. The entire study walay CPAP, gipatulog lang jud si px.
POST CPAP NIGHT QUESTIONNAIRE - this is intended for patients na naga split study meaning after diagnostics
Nag bigay sila ng therapy and that is your CPAP therapy
EPWORTH SLEEPINESS SCALE
SCORING
Category 1: is positive with 2 or more responses to
questions 2-6
Category 2: is positive with 2 or more positive
responses to questions 7-9
Category 3: is positive with 1 positive response and/
or a BMI > 30
EQUATION (BMI)
INTERPRETATION
0-5- Lower normal day time
6-10- Normal day time
11-12- Mild excessive daytime symptoms (with this
scoring you will have to submit your patient to
a sleep facility
Category 2
Category 1
BERLINE QUESTIONNAIRE