Chapter 52: Seizures Flashcards
0
Q
Second Impact syndrome
A
- A second concussion may cause more harm to the brain and may even lead to death
- Talk with health provider before child returns to activities or sports
1
Q
Most Important Thing to assess after head injury is?
A
- LOC
2
Q
Head Injury Can Cause?
A
- Change in a child’s behavior
3
Q
1st Action to Take when Child has Seizure?
A
- Turn the child on their side to prevent ASPIRATION
4
Q
Glascow Coma Scale Measures what 3 things?
A
- Eye opening
- Verbal response
- Motor response
5
Q
What will you see in a child after a tonic clonic seizure?
A
- Fatigue
6
Q
Seizure
A
- Excessive abnormal discharge of neurons
7
Q
Generalized Seizures
A
- Consciousness is impaired
- Involvement of both cerebral hemispheres
- Onset at any age
8
Q
Tonic-Clonic Seizures (grand-mal)
A
- Cause an abrupt arrest of activity and impairment of consciousness
- Tonic phase consists of a sustained generalized stiffening of muscles
- Clonic phase is symmetrical and rhythmic, consisting of alternating contraction and relaxation of major muscle groups
- Tonic-clonic seizure is followed by a variable period of confusion, lethargy , and sleep (postictal phase)
9
Q
Tonic-Clonic Seizure
-What follows the seizure?
A
- The tonic-clonic seizure is followed by a variable period of confusion, lethargy and sleep (postictal phase)
10
Q
Atonic Seizures
A
- Cause an abrupt loss of postural tone
- Child may experience head drop or a drop attack
- fall to the ground, often face down, lose consciousness for a few seconds
11
Q
Myoclonic Seizures
A
- Brief, random contractions of a muscle group, followed by loss of muscle tone and forward falling
- Can occur as early as 2 months of age
- most often seen in school-age children or adolescents
12
Q
Absence Seizures (Petit mal seizures)
A
- No muscle activity occurs except for upward rolling of the eyes
- The child has a blank facial expression
- Only last 5 to 10 seconds or less
- may occur hundreds of times per day - Children immediately return to activity they were participating in prior to the seizure ***
13
Q
Focal Seizures
A
- limited functional area in one hemisphere of the brain is involved
- symptoms on only one side of the body - An AURA is part of a focal seizure
- Children may exhibit automatisms which are repetitive non-purposeful movements
14
Q
Status Epilepticus
A
- A prolonged seizure lasting more than 30 minutes with no return to a normal level of consciousness
- Most common form of status epilepticus is generalized status, which has the highest potential for complications and possible death
