Epilepsy - RS

Question 1

types of seizures

Answer 1

generalized

focal (partial)

status epilepticus

non-epileptic

Question 2

generalized are

Answer 2

bilateral and symmetrical w/o focal onset

Question 3

generalized sz may be

Answer 3

idiopathic

Question 4

ex of generalized sz

Answer 4

grand mal sz (tonic-clonic sz)

petit mal sz (absence sz)

myoclonic sz

atonic sz

Question 5

focal (partial) sz

Answer 5

never idiopathic

Question 6

encountering a sz

Answer 6

protect the person from injury

Question 7

how to protect a person from injury

Answer 7

avoid falling

move objects out of the way

put in side lying so fluid can leak out of the mouth

Question 8

during the sz

Answer 8

time the sz

call 911

Question 9

when should one call 911

Answer 9

if sz lasts more than 5 min or if pregnant (no matter how long the sz last)

Question 10

do not

Answer 10

put anything in pts mouth

hold down or move pt (allow sz to end)

Question 11

why dont we put anything in the pt mouth

Answer 11

can break their jaw/teeth

injure yourself

Question 12

helping after a sz

Answer 12

check pt for injury

turn to side lying if could not do it before

clear pts mouth of vomit or saliva if they have difficulty breathing

loosen tight clothing

Question 13

after a sz –> provide

Answer 13

a safe area for pt to rest

stay with pt until awakens

Question 14

when is a sz an emergency

Answer 14

seizure is greater than 5 min

pregnant pt

more than 1 sz occurs in 24 hrs

pt does not respond normally within 1 hr post sz

sz is accompanied by another issue

pt c/o severe pain after waking up or develops fever within 24 hours post sz

Question 15

emergency –> sz accompanied by

Answer 15

CVA

TBI

DM

severe HA

post ingestion of poison or breathing fumes

Question 16

pregnant pt

Answer 16

sz may be a sign of preeclampsia

Question 17

when to treat a sz

Answer 17

abnormal EEG

previous sz

person drives

other neurological impairment

elderly

Question 18

when not to treat a sz

Answer 18

single sz

no history

neurologically normal

young age

side effects

Question 19

is there a cure of epilepsy

Answer 19

no

just ways to manage it

Question 20

management

Answer 20

medications

surgery

vagus N stimulation

ketogenic diet

Question 21

medications

Answer 21

can prevent sz completely in >50% of people

effectively decreases the occurrence by 20-30%

~20 are intractable to meds

Question 22

management of epilepsy

Answer 22

identify trigger and avoid it

be diligent about keeping up with medication regimen

be education in what to do if sz occurs