| Seizure Definitions | Diagnostics | Interventions | Pharmacolgical | Nursing Process |
|---|---|---|---|---|
|
What is epilepsy
Condition in which person has spontaneous recurring seizures caused by underlying chronic condition
|
What is an EEG
Continuous monitoring to detect abnormalities and help determine the type of seizure
|
What is turn your patient to the side lying position
What position would you turn a pt who is seizing?
|
What is phenytoin
This drug is given IV via pump, with tubing that has a filter, because it is hard on the veins
|
What is a medical alert bracelet
What a patient wears to communicate important information to first responders
|
|
What is tonic-clonic seizures
This type of seizure is characterized by the stiffening of the body and jerking of extremities.
|
What is a Video EEG
This will determine a definitive diagnosis of seizures with impairment of consciousness
|
What is ensure patent airway
What is the first thing you would assess for in patient who is seizing?
|
What is IV lorazepam (Ativan) and diazepam (Valium)
This drug treats status epilepticus
|
What is diet and exercise
Assist to identify events or situations preciptating seizures- avoid if possible avoid excessive alcohol, fatigue, and loss of sleep
What interventions can nurses implement to prevent seizures from occurring?
|
|
What is Postictal phase
A patient is confused, combative, and fatigued. Which phase is the patient in?
|
What is CBC, serum chemistries, liver and kidney function, UA
Which lab values would you test for in a patient presenting seizures?
|
What is VS, LOC, O2 saturation, GCS scale, pupil size and reactivity
What would you monitor for in a patient once the seizure has passed?
|
What is drug serum levels
Monitor for this if seizures continue to occur, frequency of seizures increases, or drug compliance is questioned
|
importance of adherence to medication (not to adjust dose without physician)
Emergency management Medical alert bracelets Emotional support and coping mechanism
What are 2 things that you would teach the patient and their family?
|
|
What is Status Epilepticus
State of constant seizure or condition when seizures recur without return to consciousness between seizures
|
What is a CT or MRI
This is performed when there is a new onset of seizures to rule out structural lesions
|
what is a vagal nerve stimulation
An electrode placed around the left vagus nerve in the neck, connected to a battery under the skin in the upper chest.
|
What is abnormal blood structure, quality, or function (blood dyscarasia)
Tapering off antiseizure drugs abruptly can cause
|
What is be free from injury during seizure
Have optimal mental and physical functioning while taking antiseizure medications Have satisfactory psychosocial functioning
Planning: What are 2 overall goals for a patient with seizures?
|
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What is a Partial seizure
This type of seizure is caused by focal irritations, localized brain involvement, aura present before seizure. Does not involve loss of consciousness, rarely last longer than a minute
|
What is Magnetoencephalography
This is performed in conjunction with EEG. Has a greater sensitivity for detecting small magnetic fields generated by neuro activity
|
What is a ketogenic diet (high fat, low protein and carb diet)
What Intervention is recommended for pediatric patients who have seizures
|
What is stabilizes nerve cell membranes and prevent spread of epileptic discharge
Drug therapy is aimed at prevention. What is the overall MOA of antiepileptic drugs?
|
What is ineffective breathing pattern
risk for injury ineffective coping ineffective self-health management
What are 2 nursing diagnoses?
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