Etiology of Seizures

Question 1

Birth injury. 
Infection. 
Trauma. 
Surgery.
Traumatic Brain Injury.
Genetic factors. 
These are  the highest causes of seizures in what age group?

Answer 1

2 to 20 years

Question 2

Structural lesions. 
Trauma. 
Brain tumors. 
Vascular disease. 
These are  the highest causes of seizures in what age group?

Answer 2

20 to 30 years.

Question 3

Cerebrovascular lesions.
Metastatic tumors.
These are the highest causes of seizures in what age group?

Answer 3

Over 50 years old.

Question 4

Signs and symptoms of seizures:

_____ > Rubs thumb and forefinger together before a seizure occurs.

Answer 4

Aura

Question 5

Signs and symptoms of seizures:
Change in ______.
Posturing > Decorticate ___Decerebrate
____ in perception, behaviors, or sensations.

Answer 5

LOC

Question 6

Signs and symptoms of seizures:

Pausing for a moment and staring outside is an example of _____ Seizures.

Answer 6

Absent

Question 7

Signs and symptoms of seizures:

Involuntary movements such as ____ seizures can occur when you fall straight back but do not lose consciousness.

Answer 7

fallback

Question 8

Epilepsy is defined as more than ___ unprovoked seizures. Idiopathic epilepsy has an unknown cause. Seizures are indispensable characteristics of epilepsy. Second seizure will cause ______ seizures to occur. That is how this is diagnosed.

Answer 8

two

additional

Question 9

Determine how much time occurred ______ the seizures. This must be documented. On exam. When do they start and stop.

Answer 9

between

Question 10

Major causes of seizures in children:
Birth injuries Ex. ____ or _____ defects of CNS. Acute infections in ________ and early childhood. Seizures usually have an idiopathic in children younger than older than >? _____ years old. Seizures can be caused by genetics.

Answer 10

Anoxia
Congenital
late infancy
three

Question 11

Dehydration causes hypernatremia.
Increased HEAT.
Ex. AZ temperatures.
Increased COLD also trigger seizures.
Ex. Alaska temperatures.
Extreme temperature changes > Going from hot to cold rapidly by going from the heat outside into a very cold place with the A/C on high.
These are examples of common pediatric seizure _______.

Answer 11

Triggers

Question 12

Sudden loud noises.
Fatigue.
Changes in dark/light patterns.
Example. Camera flashes, strobe lights, headlights, rotating fan blades, reflection off snow or water. Video games. Beach. Snow.
ON EXAM.
These are examples of common pediatric seizure _______.

Answer 12

Triggers

Question 13

What are the three Diagnostic tests used to diagnose seizures?

Answer 13

MRI.
EEG.
Lumbar puncture > R/O Meningitis

Question 14

Determine the Causes of the seizure:
\_\_\_\_\_\_ cause? 
\_\_\_\_\_ syndrome? 
Genetic? 
Aura?
\_\_\_\_\_\_\_ disturbance cause? 
\_\_\_\_\_\_ abuse / overdose cause?

Answer 14

Hypoglycemia
Shaken baby
Metabolic
Drug

Question 15

Labs to monitor in a patient with seizures includes?

Answer 15

TPS????

Question 16

Diagnosis:
#1 NURSING PRIORITY > Determine \_\_\_\_\_\_. 
\_\_\_\_\_\_\_ the diagnosis. 
Assess history. 
Document signs and symptoms. 
Assess for Aura. 
Assess for sensory phenomena. 
Note the duration and progression. 
Assess for Post Ictal signs and symptoms. Have parents mimic the behavior.

Answer 16

underlying cause

Differentiate

Question 17

Etiology of Seizures:
Central nervous system congenital defects. Severe brain injury.
Inborn errors of metabolism.
These are the highest causes of seizures in what age group?

Answer 17

0 to 6 months.