Posted by kwaku on March 15, 2003 at 16:44:46:

In Reply to: Case posted by Strohl on March 04, 2003 at 18:36:12:

Good comments from the prevoius answers:
RLS: sometimes better in the mornings and progessively worsen in late afternoon and evenings. Would check thyroid function and iron study- esp ferritin. Treat if less than 50 with Fe. Consider opiate for RLS/PLMS, also good for the fibromylagia.
OSA: Fragmented sleep ??from pain, plms, uars, reflux or nocturnal hypoxia from obesity. ABG preferably from indwelling A-line. She may breathe ok while awake but not in sleep. Sleep log, drug screen, relax technique and CPAP desensitization.

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