sleep study referral tool using the tool: 1)select the first indication/symptom from drop down menu...
TRANSCRIPT
![Page 1: Sleep Study Referral Tool Using the Tool: 1)Select the first indication/symptom from drop down menu 2)Continue selecting appropriate indications/symptoms](https://reader038.vdocuments.mx/reader038/viewer/2022110304/551aa944550346b2288b4592/html5/thumbnails/1.jpg)
Sleep Study Referral ToolUsing the Tool:1) Select the first indication/symptom from drop down menu2) Continue selecting appropriate indications/symptoms from drop down menus until reaching final recommendation.
First Indication
Second Indication
Third Indication
Fourth Indication
Fifth Indication
CLOSE
Click to make first selection
![Page 2: Sleep Study Referral Tool Using the Tool: 1)Select the first indication/symptom from drop down menu 2)Continue selecting appropriate indications/symptoms](https://reader038.vdocuments.mx/reader038/viewer/2022110304/551aa944550346b2288b4592/html5/thumbnails/2.jpg)
Sleep Study Referral ToolUsing the Tool:1) Select the first indication/symptom from drop down menu2) Continue selecting appropriate indications/symptoms from drop down menus until reaching final recommendation.
First Indication
Second Indication
Third Indication
Fourth Indication
Fifth Indication
CLOSE
SnoringHypersomnia/FatigueWitnessed Gasping as Night
![Page 3: Sleep Study Referral Tool Using the Tool: 1)Select the first indication/symptom from drop down menu 2)Continue selecting appropriate indications/symptoms](https://reader038.vdocuments.mx/reader038/viewer/2022110304/551aa944550346b2288b4592/html5/thumbnails/3.jpg)
CLOSE
Snoring
Sleep Study Referral ToolUsing the Tool:1) Select the first indication/symptom from drop down menu2) Continue selecting appropriate indications/symptoms from drop down menus until reaching final recommendation.
First Indication
Second Indication
Third Indication
Fourth Indication
Fifth Indication
![Page 4: Sleep Study Referral Tool Using the Tool: 1)Select the first indication/symptom from drop down menu 2)Continue selecting appropriate indications/symptoms](https://reader038.vdocuments.mx/reader038/viewer/2022110304/551aa944550346b2288b4592/html5/thumbnails/4.jpg)
Snoring
Sleep Study Referral ToolUsing the Tool:1) Select the first indication/symptom from drop down menu2) Continue selecting appropriate indications/symptoms from drop down menus until reaching final recommendation.
First Indication
Second Indication
Third Indication
Fourth Indication
Fifth Indication
CLOSE
Mild/Single ComplaintLoud, Continuous for > 3 months
![Page 5: Sleep Study Referral Tool Using the Tool: 1)Select the first indication/symptom from drop down menu 2)Continue selecting appropriate indications/symptoms](https://reader038.vdocuments.mx/reader038/viewer/2022110304/551aa944550346b2288b4592/html5/thumbnails/5.jpg)
Snoring
Mild/Single Complaint
Sleep Study Referral ToolUsing the Tool:1) Select the first indication/symptom from drop down menu2) Continue selecting appropriate indications/symptoms from drop down menus until reaching final recommendation.
First Indication
Second Indication
Third Indication
Fourth Indication
Fifth Indication
CLOSE
No referral necessary Provide conservative measures.
NEXT
![Page 6: Sleep Study Referral Tool Using the Tool: 1)Select the first indication/symptom from drop down menu 2)Continue selecting appropriate indications/symptoms](https://reader038.vdocuments.mx/reader038/viewer/2022110304/551aa944550346b2288b4592/html5/thumbnails/6.jpg)
Snoring
Mild/Single Complaint
Sleep Study Referral ToolUsing the Tool:1) Select the first indication/symptom from drop down menu2) Continue selecting appropriate indications/symptoms from drop down menus until reaching final recommendation.
First Indication
Second Indication
Third Indication
Fourth Indication
Fifth Indication
CLOSE
Conservative Measures:Avoid ETOH at night
Consider lateral positional sleepingConsider OTC* sleep wedge pillow
Consider Flonase for nasal congestion – treat allergic rhinitisConsider OTC* extra strength nasal strips
Smoking Cessation
OTC* = over the counterPatient will need to purchase item. Item is not a Tricare benefit
EXIT
![Page 7: Sleep Study Referral Tool Using the Tool: 1)Select the first indication/symptom from drop down menu 2)Continue selecting appropriate indications/symptoms](https://reader038.vdocuments.mx/reader038/viewer/2022110304/551aa944550346b2288b4592/html5/thumbnails/7.jpg)
Snoring
Loud, Continuous for > 3 months
Sleep Study Referral ToolUsing the Tool:1) Select the first indication/symptom from drop down menu2) Continue selecting appropriate indications/symptoms from drop down menus until reaching final recommendation.
First Indication
Second Indication
Third Indication
Fourth Indication
Fifth Indication
CLOSE
![Page 8: Sleep Study Referral Tool Using the Tool: 1)Select the first indication/symptom from drop down menu 2)Continue selecting appropriate indications/symptoms](https://reader038.vdocuments.mx/reader038/viewer/2022110304/551aa944550346b2288b4592/html5/thumbnails/8.jpg)
Snoring
Loud, Continuous for > 3 months
Sleep Study Referral ToolUsing the Tool:1) Select the first indication/symptom from drop down menu2) Continue selecting appropriate indications/symptoms from drop down menus until reaching final recommendation.
First Indication
Second Indication
Third Indication
Fourth Indication
Fifth Indication
ESS > 15 OR STOP-BANG > 5?Determine BMI. Is BMI > 25?Determine BMI. Is BMI < 25?
CLOSE
![Page 9: Sleep Study Referral Tool Using the Tool: 1)Select the first indication/symptom from drop down menu 2)Continue selecting appropriate indications/symptoms](https://reader038.vdocuments.mx/reader038/viewer/2022110304/551aa944550346b2288b4592/html5/thumbnails/9.jpg)
Snoring
Loud, Continuous for > 3 months
ESS > 15 OR STOPBANG > 5?Sleep Medicine Referral
Sleep Study Referral ToolUsing the Tool:1) Select the first indication/symptom from drop down menu2) Continue selecting appropriate indications/symptoms from drop down menus until reaching final recommendation.
First Indication
Second Indication
Third Indication
Fourth Indication
Fifth Indication
EXIT
CLOSE
![Page 10: Sleep Study Referral Tool Using the Tool: 1)Select the first indication/symptom from drop down menu 2)Continue selecting appropriate indications/symptoms](https://reader038.vdocuments.mx/reader038/viewer/2022110304/551aa944550346b2288b4592/html5/thumbnails/10.jpg)
Snoring
Loud, Continuous for > 3 months
Determine BMI. Is BMI > 25?
Weight loss recommended> 10% OR until BMI is < 25Provide conservative measures.
Sleep Study Referral ToolUsing the Tool:1) Select the first indication/symptom from drop down menu2) Continue selecting appropriate indications/symptoms from drop down menus until reaching final recommendation.
First Indication
Second Indication
Third Indication
Fourth Indication
Fifth Indication
NEXT
CLOSE
![Page 11: Sleep Study Referral Tool Using the Tool: 1)Select the first indication/symptom from drop down menu 2)Continue selecting appropriate indications/symptoms](https://reader038.vdocuments.mx/reader038/viewer/2022110304/551aa944550346b2288b4592/html5/thumbnails/11.jpg)
Snoring
Loud, Continuous for > 3 months
Determine BMI. Is BMI > 25?
Sleep Study Referral ToolUsing the Tool:1) Select the first indication/symptom from drop down menu2) Continue selecting appropriate indications/symptoms from drop down menus until reaching final recommendation.
First Indication
Second Indication
Third Indication
Fourth Indication
Fifth Indication
Conservative Measures:Avoid ETOH at night
Consider lateral positional sleepingConsider OTC* sleep wedge pillow
Consider Flonase for nasal congestion – treat allergic rhinitisConsider OTC* extra strength nasal strips
Smoking Cessation
OTC* = over the counterPatient will need to purchase item. Item is not a Tricare benefit
EXIT
CLOSE
![Page 12: Sleep Study Referral Tool Using the Tool: 1)Select the first indication/symptom from drop down menu 2)Continue selecting appropriate indications/symptoms](https://reader038.vdocuments.mx/reader038/viewer/2022110304/551aa944550346b2288b4592/html5/thumbnails/12.jpg)
Snoring
Loud, Continuous for > 3 months
Determine BMI. Is BMI < 25?
Sleep Study Referral ToolUsing the Tool:1) Select the first indication/symptom from drop down menu2) Continue selecting appropriate indications/symptoms from drop down menus until reaching final recommendation.
First Indication
Second Indication
Third Indication
Fourth Indication
Fifth Indication
CLOSE
![Page 13: Sleep Study Referral Tool Using the Tool: 1)Select the first indication/symptom from drop down menu 2)Continue selecting appropriate indications/symptoms](https://reader038.vdocuments.mx/reader038/viewer/2022110304/551aa944550346b2288b4592/html5/thumbnails/13.jpg)
Sleep Study Referral ToolUsing the Tool:1) Select the first indication/symptom from drop down menu2) Continue selecting appropriate indications/symptoms from drop down menus until reaching final recommendation.
Snoring
Loud, Continuous for > 3 months
Determine BMI. Is BMI < 25?
First Indication
Second Indication
Third Indication
Fourth Indication
Fifth IndicationProvide Conservative Measures.
CLOSE
![Page 14: Sleep Study Referral Tool Using the Tool: 1)Select the first indication/symptom from drop down menu 2)Continue selecting appropriate indications/symptoms](https://reader038.vdocuments.mx/reader038/viewer/2022110304/551aa944550346b2288b4592/html5/thumbnails/14.jpg)
Sleep Study Referral ToolUsing the Tool:1) Select the first indication/symptom from drop down menu2) Continue selecting appropriate indications/symptoms from drop down menus until reaching final recommendation.
Snoring
Loud, Continuous for > 3 months
Determine BMI. Is BMI < 25?
Provide Conservative Measures.
First Indication
Second Indication
Third Indication
Fourth Indication
Fifth Indication
Conservative Measures:Avoid ETOH at night
Consider lateral positional sleepingConsider OTC* sleep wedge pillow
Consider Flonase for nasal congestion – treat allergic rhinitisConsider OTC* extra strength nasal strips
Smoking Cessation
OTC* = over the counterPatient will need to purchase item. Item is not a Tricare benefit
EXIT
CLOSE
![Page 15: Sleep Study Referral Tool Using the Tool: 1)Select the first indication/symptom from drop down menu 2)Continue selecting appropriate indications/symptoms](https://reader038.vdocuments.mx/reader038/viewer/2022110304/551aa944550346b2288b4592/html5/thumbnails/15.jpg)
Sleep Study Referral ToolUsing the Tool:1) Select the first indication/symptom from drop down menu2) Continue selecting appropriate indications/symptoms from drop down menus until reaching final recommendation.
CLOSE
Hypersomnia/FatigueFirst Indication
Second Indication
Third Indication
Fourth Indication
Fifth Indication
![Page 16: Sleep Study Referral Tool Using the Tool: 1)Select the first indication/symptom from drop down menu 2)Continue selecting appropriate indications/symptoms](https://reader038.vdocuments.mx/reader038/viewer/2022110304/551aa944550346b2288b4592/html5/thumbnails/16.jpg)
Sleep Study Referral ToolUsing the Tool:1) Select the first indication/symptom from drop down menu2) Continue selecting appropriate indications/symptoms from drop down menus until reaching final recommendation.
CLOSE
Hypersomnia/FatigueFirst Indication
Second Indication
Third Indication
Fourth Indication
Fifth Indication
Obtain ESS Score.
![Page 17: Sleep Study Referral Tool Using the Tool: 1)Select the first indication/symptom from drop down menu 2)Continue selecting appropriate indications/symptoms](https://reader038.vdocuments.mx/reader038/viewer/2022110304/551aa944550346b2288b4592/html5/thumbnails/17.jpg)
Hypersomnia/Fatigue
Sleep Study Referral ToolUsing the Tool:1) Select the first indication/symptom from drop down menu2) Continue selecting appropriate indications/symptoms from drop down menus until reaching final recommendation.
Obtain ESS Score.
First Indication
Second Indication
Third Indication
Fourth Indication
Fifth Indication
CLOSE
![Page 18: Sleep Study Referral Tool Using the Tool: 1)Select the first indication/symptom from drop down menu 2)Continue selecting appropriate indications/symptoms](https://reader038.vdocuments.mx/reader038/viewer/2022110304/551aa944550346b2288b4592/html5/thumbnails/18.jpg)
Hypersomnia/Fatigue
Sleep Study Referral ToolUsing the Tool:1) Select the first indication/symptom from drop down menu2) Continue selecting appropriate indications/symptoms from drop down menus until reaching final recommendation.
Obtain ESS Score.
Is ESS > 15 with sleep time > or = 7 Hours? Is ESS > 15 with sleep time < 7 Hours? Is ESS < 15 with sleep time < 7 Hours?
First Indication
Second Indication
Third Indication
Fourth Indication
Fifth Indication
CLOSE
![Page 19: Sleep Study Referral Tool Using the Tool: 1)Select the first indication/symptom from drop down menu 2)Continue selecting appropriate indications/symptoms](https://reader038.vdocuments.mx/reader038/viewer/2022110304/551aa944550346b2288b4592/html5/thumbnails/19.jpg)
Hypersomnia/Fatigue
Sleep Study Referral ToolUsing the Tool:1) Select the first indication/symptom from drop down menu2) Continue selecting appropriate indications/symptoms from drop down menus until reaching final recommendation.
Obtain ESS Score.
Is ESS > 15 with sleep time > or = 7 Hours?Sleep Medicine Referral
EXIT
First Indication
Second Indication
Third Indication
Fourth Indication
Fifth Indication
CLOSE
![Page 20: Sleep Study Referral Tool Using the Tool: 1)Select the first indication/symptom from drop down menu 2)Continue selecting appropriate indications/symptoms](https://reader038.vdocuments.mx/reader038/viewer/2022110304/551aa944550346b2288b4592/html5/thumbnails/20.jpg)
Hypersomnia/Fatigue
Sleep Study Referral ToolUsing the Tool:1) Select the first indication/symptom from drop down menu2) Continue selecting appropriate indications/symptoms from drop down menus until reaching final recommendation.
Obtain ESS Score.
Is ESS > 15 with sleep time < 7 Hours?
Assess for adequate sleepAnd educate on sleep habits
NEXT
First Indication
Second Indication
Third Indication
Fourth Indication
Fifth Indication
CLOSE
![Page 21: Sleep Study Referral Tool Using the Tool: 1)Select the first indication/symptom from drop down menu 2)Continue selecting appropriate indications/symptoms](https://reader038.vdocuments.mx/reader038/viewer/2022110304/551aa944550346b2288b4592/html5/thumbnails/21.jpg)
Hypersomnia/Fatigue
Sleep Study Referral ToolUsing the Tool:1) Select the first indication/symptom from drop down menu2) Continue selecting appropriate indications/symptoms from drop down menus until reaching final recommendation.
Obtain ESS Score.
Is ESS > 15 with sleep time < 7 Hours?
NEXT
Better Sleep Habits:If total sleep time < 7 hours then increase by 1 hour.
Review all medications.Screen for depression.
Obtain Sleep Diary.Provide tips on minimizing sleepiness (shift work).
Consider screening labs.
EXIT
First Indication
Second Indication
Third Indication
Fourth Indication
Fifth Indication
CLOSE
![Page 22: Sleep Study Referral Tool Using the Tool: 1)Select the first indication/symptom from drop down menu 2)Continue selecting appropriate indications/symptoms](https://reader038.vdocuments.mx/reader038/viewer/2022110304/551aa944550346b2288b4592/html5/thumbnails/22.jpg)
Hypersomnia/Fatigue
Sleep Study Referral ToolUsing the Tool:1) Select the first indication/symptom from drop down menu2) Continue selecting appropriate indications/symptoms from drop down menus until reaching final recommendation.
Obtain ESS Score.
Is ESS > 15 with sleep time < 7 Hours?
First Indication
Second Indication
Third Indication
Fourth Indication
Fifth Indication
CLOSE
NEXT
Screening Labs:Thyroid Function Tests (TFTs)
Complete Blood Count (CBC) testBasic Metabolic Panel (BMP) lab
Ferritin levels
EXIT
![Page 23: Sleep Study Referral Tool Using the Tool: 1)Select the first indication/symptom from drop down menu 2)Continue selecting appropriate indications/symptoms](https://reader038.vdocuments.mx/reader038/viewer/2022110304/551aa944550346b2288b4592/html5/thumbnails/23.jpg)
Hypersomnia/Fatigue
Sleep Study Referral ToolUsing the Tool:1) Select the first indication/symptom from drop down menu2) Continue selecting appropriate indications/symptoms from drop down menus until reaching final recommendation.
Obtain ESS Score.
Is ESS < 15 and sleep time < 7 Hours?
First Indication
Second Indication
Third Indication
Fourth Indication
Fifth Indication
CLOSE
Assess for adequate sleepAnd educate on sleep habits
NEXT
![Page 24: Sleep Study Referral Tool Using the Tool: 1)Select the first indication/symptom from drop down menu 2)Continue selecting appropriate indications/symptoms](https://reader038.vdocuments.mx/reader038/viewer/2022110304/551aa944550346b2288b4592/html5/thumbnails/24.jpg)
Hypersomnia/Fatigue
Sleep Study Referral ToolUsing the Tool:1) Select the first indication/symptom from drop down menu2) Continue selecting appropriate indications/symptoms from drop down menus until reaching final recommendation.
Obtain ESS Score.
Is ESS < 15 and sleep time < 7 Hours?
First Indication
Second Indication
Third Indication
Fourth Indication
Fifth Indication
CLOSE
NEXT
Better Sleep Habits:If total sleep time < 7 hours then increase by 1 hour.
Review all medications.Screen for depression.
Obtain Sleep Diary.Provide tips on minimizing sleepiness (shift work).
Consider screening labs.
EXIT
![Page 25: Sleep Study Referral Tool Using the Tool: 1)Select the first indication/symptom from drop down menu 2)Continue selecting appropriate indications/symptoms](https://reader038.vdocuments.mx/reader038/viewer/2022110304/551aa944550346b2288b4592/html5/thumbnails/25.jpg)
Hypersomnia/Fatigue
Sleep Study Referral ToolUsing the Tool:1) Select the first indication/symptom from drop down menu2) Continue selecting appropriate indications/symptoms from drop down menus until reaching final recommendation.
Obtain ESS Score.
Is ESS > 15 with sleep time < 7 Hours?
First Indication
Second Indication
Third Indication
Fourth Indication
Fifth Indication
CLOSE
NEXT
Screening Labs:Thyroid Function Tests (TFTs)
Complete Blood Count (CBC) testBasic Metabolic Panel (BMP) lab
Ferritin levels
EXIT
![Page 26: Sleep Study Referral Tool Using the Tool: 1)Select the first indication/symptom from drop down menu 2)Continue selecting appropriate indications/symptoms](https://reader038.vdocuments.mx/reader038/viewer/2022110304/551aa944550346b2288b4592/html5/thumbnails/26.jpg)
Witnessed Apnea Gasping at Night
Sleep Study Referral ToolUsing the Tool:1) Select the first indication/symptom from drop down menu2) Continue selecting appropriate indications/symptoms from drop down menus until reaching final recommendation.
Use Differential Diagnosis of Nocturnal Respiratory
SymptomsNEXT
CLOSE
First Indication
Second Indication
Third Indication
Fourth Indication
Fifth Indication
![Page 27: Sleep Study Referral Tool Using the Tool: 1)Select the first indication/symptom from drop down menu 2)Continue selecting appropriate indications/symptoms](https://reader038.vdocuments.mx/reader038/viewer/2022110304/551aa944550346b2288b4592/html5/thumbnails/27.jpg)
Witnessed Apnea Gasping at Night
Sleep Study Referral ToolUsing the Tool:1) Select the first indication/symptom from drop down menu2) Continue selecting appropriate indications/symptoms from drop down menus until reaching final recommendation.
CLOSE
First Indication
Second Indication
Third Indication
Fourth Indication
Fifth Indication
![Page 28: Sleep Study Referral Tool Using the Tool: 1)Select the first indication/symptom from drop down menu 2)Continue selecting appropriate indications/symptoms](https://reader038.vdocuments.mx/reader038/viewer/2022110304/551aa944550346b2288b4592/html5/thumbnails/28.jpg)
Witnessed Apnea Gasping at Night
Sleep Study Referral ToolUsing the Tool:1) Select the first indication/symptom from drop down menu2) Continue selecting appropriate indications/symptoms from drop down menus until reaching final recommendation.
Evaluate for possible underlying Cardiac or Pulmonary conditions.
CLOSE
First Indication
Second Indication
Third Indication
Fourth Indication
Fifth Indication
![Page 29: Sleep Study Referral Tool Using the Tool: 1)Select the first indication/symptom from drop down menu 2)Continue selecting appropriate indications/symptoms](https://reader038.vdocuments.mx/reader038/viewer/2022110304/551aa944550346b2288b4592/html5/thumbnails/29.jpg)
Witnessed Apnea Gasping at Night
Sleep Study Referral ToolUsing the Tool:1) Select the first indication/symptom from drop down menu2) Continue selecting appropriate indications/symptoms from drop down menus until reaching final recommendation.
Evaluate for possible underlying Cardiac or Pulmonary conditions.
CLOSE
First Indication
Second Indication
Third Indication
Fourth Indication
Fifth Indication
![Page 30: Sleep Study Referral Tool Using the Tool: 1)Select the first indication/symptom from drop down menu 2)Continue selecting appropriate indications/symptoms](https://reader038.vdocuments.mx/reader038/viewer/2022110304/551aa944550346b2288b4592/html5/thumbnails/30.jpg)
Witnessed Apnea Gasping at Night
Sleep Study Referral ToolUsing the Tool:1) Select the first indication/symptom from drop down menu2) Continue selecting appropriate indications/symptoms from drop down menus until reaching final recommendation.
Evaluate for possible underlying Cardiac or Pulmonary conditions.
CLOSE
First Indication
Second Indication
Third Indication
Fourth Indication
Fifth Indication
If positive/suspicion consider referral to Cardiology or Pulmonary.If negative/unlikely administer STOP-BANG Questionnaire.
![Page 31: Sleep Study Referral Tool Using the Tool: 1)Select the first indication/symptom from drop down menu 2)Continue selecting appropriate indications/symptoms](https://reader038.vdocuments.mx/reader038/viewer/2022110304/551aa944550346b2288b4592/html5/thumbnails/31.jpg)
Witnessed Apnea Gasping at Night
Sleep Study Referral ToolUsing the Tool:1) Select the first indication/symptom from drop down menu2) Continue selecting appropriate indications/symptoms from drop down menus until reaching final recommendation.
If positive/suspicion consider referral to Cardiology or Pulmonary.
Evaluate for possible underlying Cardiac or Pulmonary conditions.Sleep Medicine Referral
EXIT
CLOSE
First Indication
Second Indication
Third Indication
Fourth Indication
Fifth Indication
![Page 32: Sleep Study Referral Tool Using the Tool: 1)Select the first indication/symptom from drop down menu 2)Continue selecting appropriate indications/symptoms](https://reader038.vdocuments.mx/reader038/viewer/2022110304/551aa944550346b2288b4592/html5/thumbnails/32.jpg)
Witnessed Apnea Gasping at Night
Sleep Study Referral ToolUsing the Tool:1) Select the first indication/symptom from drop down menu2) Continue selecting appropriate indications/symptoms from drop down menus until reaching final recommendation.
If negative/unlikely administer STOP-BANG Questionnaire.
Evaluate for possible underlying Cardiac or Pulmonary conditions.
CLOSE
First Indication
Second Indication
Third Indication
Fourth Indication
Fifth Indication
![Page 33: Sleep Study Referral Tool Using the Tool: 1)Select the first indication/symptom from drop down menu 2)Continue selecting appropriate indications/symptoms](https://reader038.vdocuments.mx/reader038/viewer/2022110304/551aa944550346b2288b4592/html5/thumbnails/33.jpg)
Witnessed Apnea Gasping at Night
Sleep Study Referral ToolUsing the Tool:1) Select the first indication/symptom from drop down menu2) Continue selecting appropriate indications/symptoms from drop down menus until reaching final recommendation.
If negative/unlikely administer STOP-BANG Questionnaire.
Evaluate for possible underlying Cardiac or Pulmonary conditions.
CLOSE
First Indication
Second Indication
Third Indication
Fourth Indication
Fifth IndicationSTOP-BANG Results: 3 or MoreSTOP-BANG Results: Less than 3.
![Page 34: Sleep Study Referral Tool Using the Tool: 1)Select the first indication/symptom from drop down menu 2)Continue selecting appropriate indications/symptoms](https://reader038.vdocuments.mx/reader038/viewer/2022110304/551aa944550346b2288b4592/html5/thumbnails/34.jpg)
Witnessed Apnea Gasping at Night
Sleep Study Referral ToolUsing the Tool:1) Select the first indication/symptom from drop down menu2) Continue selecting appropriate indications/symptoms from drop down menus until reaching final recommendation.
If negative/unlikely administer STOP-BANG Questionnaire.
Evaluate for possible underlying Cardiac or Pulmonary conditions.
CLOSE
First Indication
Second Indication
Third Indication
Fourth Indication
Fifth Indication
STOP-BANG Results: 3 or MoreEXIT
Sleep Medicine ReferralEXIT
![Page 35: Sleep Study Referral Tool Using the Tool: 1)Select the first indication/symptom from drop down menu 2)Continue selecting appropriate indications/symptoms](https://reader038.vdocuments.mx/reader038/viewer/2022110304/551aa944550346b2288b4592/html5/thumbnails/35.jpg)
Witnessed Apnea Gasping at Night
Sleep Study Referral ToolUsing the Tool:1) Select the first indication/symptom from drop down menu2) Continue selecting appropriate indications/symptoms from drop down menus until reaching final recommendation.
If negative/unlikely administer STOP-BANG Questionnaire.
Evaluate for possible underlying Cardiac or Pulmonary conditions.
CLOSE
First Indication
Second Indication
Third Indication
Fourth Indication
Fifth Indication
STOP-BANG Results: Less than 3
Weight loss recommended> 10% OR until BMI is < 25Provide conservative measures.
NEXT
![Page 36: Sleep Study Referral Tool Using the Tool: 1)Select the first indication/symptom from drop down menu 2)Continue selecting appropriate indications/symptoms](https://reader038.vdocuments.mx/reader038/viewer/2022110304/551aa944550346b2288b4592/html5/thumbnails/36.jpg)
Witnessed Apnea Gasping at Night
Sleep Study Referral ToolUsing the Tool:1) Select the first indication/symptom from drop down menu2) Continue selecting appropriate indications/symptoms from drop down menus until reaching final recommendation.
If negative/unlikely administer STOP-BANG Questionnaire.
Evaluate for possible underlying Cardiac or Pulmonary conditions.
CLOSE
First Indication
Second Indication
Third Indication
Fourth Indication
Fifth Indication
STOP-BANG Results: Less than 3
Conservative Measures:Avoid ETOH at night
Consider lateral positional sleepingConsider OTC* sleep wedge pillow
Consider Flonase for nasal congestion – treat allergic rhinitisConsider OTC* extra strength nasal strips
Smoking Cessation
OTC* = over the counterPatient will need to purchase item. Item is not a Tricare benefit
EXIT
![Page 37: Sleep Study Referral Tool Using the Tool: 1)Select the first indication/symptom from drop down menu 2)Continue selecting appropriate indications/symptoms](https://reader038.vdocuments.mx/reader038/viewer/2022110304/551aa944550346b2288b4592/html5/thumbnails/37.jpg)
Press “Esc” to exit Sleep Apnea Tool