Epilepsy (5)

Question 1

Implementing Seizure Precautions

At bedside?

Answer 1

At bedside:
Suction in case of aspiration

Ambu bag and oxygen in case of oxygen deprivation

Padded bed frame in case of uncontrollable body movement

Bed frame positioned closer to the floor in case of fall

Question 2

Recognizing Cues of a Tonic-Clonic Seizure

TONIC = STIFF

Answer 2

Characterized by loss of consciousness and falling to the ground

Body stiffens (tonic) with subsequent jerking of extremities (clonic)

Dilated pupils, hyperventilation then apnea

Cyanosis, excessive salivation, and tongue or cheek biting, incontinence

Postictal phase characterized by muscle soreness, fatigue
-Patient may sleep for several hours
-May not feel normal for hours or days
-No memory of seizure

Question 3

Client Safety During a Seizure

seizure = left side

If client is in bed…?

f the client is NOT in the bed…?

Answer 3

If client is in bed…
Turn your client to left side to reduce the risk of choking;
head should be flexed forward

Loosen clothing from the neck, chest, or abdominal areas

Remove the pillow and raise padded side rails

Provide supplemental oxygen if the client is struggling to breathe

Never restrain the limbs

Administer drug therapy (usually benzodiazepines) to control seizures

If the client is NOT in the bed…
1. Lower client to the floor, if possible
2. Protect head from injury
3. Move furniture that may injure the client