click below
click below
Normal Size Small Size show me how
seizure care & diag
exam 7 alterations
Question | Answer |
---|---|
what is a seizure | an abnormal, sudden, excessive discharge of electrical activity within the brain |
what is epilepsy | a disorder characterized by chronic seizure activity and indicates brain or CNS irritation |
what is status epilepticus | a rapid succession of epileptic spasms without intervals of consciousness, it is a potential complication that can occur with any type of seizure and brain damage may result |
what is status epilepticus treated with | valium and ativan |
what are the causes of seizures | genetic factors, trauma, tumors, circulatory or metabolic disorders, toxicity, and infections |
what are the types of generalized seizures | tonic clonic (grand mal), absence, myoclonic and atonic |
what are the types of partial seizures | simple partial and complex partial |
what is a tonic clonic (grand mal) seizure | begins with an aura, tonic phase stiffening, followed by LOC, clonic phase hyperventilation and jerking |
how do you treat a tonic clonic seizure | barbiturates (Amytal/Mebaral/Luminal) |
what is an absence seizure | a brief seizure that lasts seconds, the individual may or may not lose consciousness |
what are manifestations of an absence seizure | No loss or change in muscle tone Seizures may occur several times during a day Victim appears to be daydreaming More common in children |
what do you treat absence seizures with | benzodiazepines, valium, ativan and zarontin, celotin and troxidone |
what is a myoclonic seizure | brief generalized jerking, or stiffening of extremities, the victim may fall to the ground |
what is a myoclonic seizure treated with | depakene, depacon or Depakote ER |
what is an atonic seizure | sudden momentary loss of muscle tone Victim may fall to the ground |
what are partial seizures treated with | hydantoins (peganone/cerebyx/Dilantin) |
what is a simple partial seizure | produce sensory symptoms accompanied by motor symptoms that are localized or confined to a specific area Client is conscious and may report an aura |
what is a complex partial seizure | psychomotor seizure, most often involving the temporal lobe, characterized by periods of altered behavior of which the client is unaware, client loses consciousness for a few seconds |
what is a priority of a patient having a seizure | maintain a patent airway but NEVER force the jaws open or place anything in the clients’ mouth |
anticonvulsant medications are used for seizures why? | are used to depress abnormal neuronal discharges and prevent the spread of seizures to adjacent neurons |
anticonvulsants are used in caution with what patients | patients taking aspirin, anticoagulants, sulfonamides, Tagamet and antipsychotic drugs, absorption is decreased with the use of antacids, calcium and antineoplastic drugs, monitor liver, renal and serum blood levels for medication efficacy. |
what is the medication that seizure patient s can take if nothing else works | Iminostilbenes, lyrica and topamax |
patient education while on anticonvulsants | Take with food but avoiding milk and antacids If liquid, shake well before dispensing Do not discontinue meds Avoid alcohol/OTC drugs Wear a medic-alert bracelet |
patient education while on anticonvulsants | Use caution when driving or doing activities that require alertness Maintain good oral hygiene and use soft toothbrush Maintain preventative dental checkups Maintain follow-up health care visits including blood studies |
patient education while on anticonvulsants | Monitor serum glucose levels if DM Urine may be a harmless pink-red or red-brown Report symptoms of sore throat, bruising, nosebleeds which may indicate blood dyscrasia (decreased platelet count and decreased WBC) |
inform MD if symptoms occur following anticonvulsant use | bleeding gums, nausea, vomiting, blurred vision, slurred speech, rash or dizziness |