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Seizure Precautions - After a Sz 1:
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Sz Guidelines
5
| Question | Answer |
|---|---|
| Seizure Precautions - After a Sz 1: | Stay with the person until the seizure ends naturally. Offer to call a taxi, friend or relative to help the person get home if he seems confused or unable to get home by himself. |
| Seizure Precautions - After a Sz 2: | When the patient is in a safe position, remove as much excess secretion from the mouth as possible. |
| Seizure Precautions - After a Sz 3: | Use an oral airway only if the patient is unable to maintain his/her own airway and there is no gag reflex (patient will gag on oral airway and vomit, increasing risk of aspiration). |
| Seizure Precautions - After a Sz 4: | Cover the patient to keep him/her warm and protect him/her from the embarrassment of incontinence. Be friendly and reassuring as consciousness returns. |
| Seizure Precautions - After a Sz 5: | Seek help now if needed. |
| Seizure Precautions - After a Sz 6: | Be conscious that the sense of hearing is the first to return. Speak quietly and calmly to the patient. |
| Seizure Precautions - After a Sz 7: | Do not give the patient anything to eat or drink until he/she is fully awake. |
| Seizure Precautions - After a Sz 8: | Anticipate medication orders. |
| Seizure Precautions - After a Sz 9: | Monitor vital signs, including pulse oximetry. |
| Seizure Precautions - After a Sz 10: | Keep the pt low. |
| Seizure Precautions - After a Sz 11: | Continue to observe the patient, including frequent neurological checks. |
| Seizure Precautions - Post Sz Testing Protocol: | 1. Point to the ceiling with both hands, 2. Ask what they are feeling, 3. Ask to remember “purple elephant” 4. Repeat: “I heard him speak on the radio last night.” 5. Show two fingers. 6. Tell me your name. 7. Ask “What did I tell you to remember?” |
| Updated Seizure Precautions - 1 | Keep calm and reassure other people who may be nearby. Provide safety and privacy for the pt. Call for help when possible. |
| Updated Seizure Precautions - 2 | Don't hold the person down or try to stop his movements. If seated when seizure occurs, lower to the floor and place in a side-lying position. Do not try to move the patient to another place. |
| Updated Seizure Precautions - 3 | Time the seizure with your watch. |
| Updated Seizure Precautions - 4 | Clear the area around the person of anything hard or sharp. Never forcefully turn neck or rigid extremity once the seizure starts. |
| Updated Seizure Precautions - 5 | Loosen ties or anything around the neck that may make breathing difficult. |
| Updated Seizure Precautions - 6 | If patient falls to the floor, protect the head with padding, e.g., blanket, pillows. Put something flat and soft, like a folded jacket, under the head. |
| Updated Seizure Precautions - 7 | Turn him or her gently onto one side. This will help keep the airway clear. |
| Updated Seizure Precautions - 8 | Do not try to force mouth open with any hard implement or fingers. It is not true that a person having a seizure can swallow his tongue. Efforts to hold the tongue down can cause injury. |
| Updated Seizure Precautions - 9 | Don't attempt artificial respiration except in the unlikely event that a person does not start breathing again after the seizure stops. |
| Updated Seizure Precautions - When is an emergency room visit needed? | Diabetes, Brain infections, Heat exhaustion, Pregnancy, Poisoning, Hypoglycemia, High fever, Head injury. |
| What are the two primary responsibilities of the EEG tech during a sz? | Put the pt at ease and keep them from harming themselves. |
Created by:
kmburg5840
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