M - 4 - Seizure - Adult & Pediatric

Question 1

The first step in assessing a seizure patient is determining ______.

A. ABCs
B. BGL
C. 12-lead ECG

Answer 1

A. ABCs

Question 2

After assessing a seizure patient’s ABCs, what is evaluated next?

A. BGL
B. 12-lead ECG
C. Pregnancy

Answer 2

A. BGL

Question 3

The minimum BGL of a seizure patient should be ____.

Answer 3

50 mg/dL

Question 4

If a patient is experiencing an active seizure, or recurrent seizures without a lucid interval, what is evaluated next?

Answer 4

Whether or not the patient is in third trimester of pregnancy with signs of eclampsia.

Question 5

IV Midazolam for adult seizure patient weight between 50-74 kg.

Answer 5

2.5 mg

Question 6

IV Midazolam for adult seizure patient weight over 75 kg.

Answer 6

5 mg

Question 7

IV Midazolam for adult seizure geriatric patient.

Answer 7

2.5 mg

Question 8

IM/IN Midazolam for adult seizure geriatric patient.

Answer 8

5 mg

Question 9

IM/IN Midazolam for adult seizure patient weight over 75 kg.

Answer 9

10 mg

Question 10

IM/IN Midazolam for adult seizure patient weighing 50-74 kg.

Answer 10

5 mg

Question 11

T/F: The adult, non-pregnant patient with recurrent seizure may receive magnesium sulfate.

Answer 11

True

Question 12

Signs/symptoms of eclampsia

Answer 12

SBP over 140 mmHg or DBP over 90 mmHg

AND 1+ of the following:

• Proteinuria
• Renal impairment (proteinuria, high creatinine)
• Liver disease (epigastric pain, liver tenderness, elevated AST/ALT)
• Neuro problems (seizure, visual disturbance, clonus)
• Hematologic changes (thrombocytopenia - , hemolysis, DIC)
• Fetal grown restriction

Severe if SBP over 160 or DBP over 110, or if sever organ dysfunction

Question 13

Magnesium sulfate for seizure patient 50-74 kg.

A. 2 g
B. 1 g

Answer 13

A. 2 g

Question 14

Magnesium sulfate for a geriatric patient.

A. 2 g
B. 1 g

Answer 14

B. 1 g

Question 15

Magnesium sulfate for seizure patient over 75 kg.

A. 2 g
B. 1 g

Answer 15

A. 2 g

Question 16

Medical control may be contacted for orders if a patient experiences another seizure following ____ dose(s) of benzodiazepines.

Answer 16

2