part 11 Flashcards
1
Q
- sudden momentary loss of muscle tone
- onset is usually age 2 to 5 years
- may or may not have LOC
- sudden fall to the ground, often on the face
- if less severe, the head may droop forward
A
atonic seizure
2
Q
- sudden brief contractions of a muscle group
- may be single or repetitive
- no LOC
- often occur with falling asleep
- may be a nonspecific symptom in many CNS disorders
- may be mistaken for an exaggerated startle reflex
A
myoclonic seizures
3
Q
-sudden fall to the ground, often on the face
A
atonic seizure
4
Q
What is the therapeutic management of seizures?
A
- drug therapy
- ketogenic diet
- vagus nerve stimulation
- surgical therapy
5
Q
seizures lasting more than 30 minutes or a series of seizures in which the pt does not regain a premorbid LOC in between seizures.
A
status epilepticus definition
6
Q
What is the therapeutic management of status epilepticus?
A
- maintain airway and monitor for apnea
- safety of the pt
- establish IV access
- meds: IV diazepam or lorazepam, fosphenytoin followed by phenobarbital
- support family
7
Q
- tonic-clonic seizure for <5 minutes
- associated with acute, benign febrile illness
- occurs within 24 hrs. of onset of fever, and does not recur within 24 hours
- no associated neurological findings
- medication does not stop or prevent
A
febrile seizures
-rare after age 5
8
Q
What type of seizure is a febrile seizure?
A
tonic-clonic
9
Q
Does medication cure febrile seizures?
A
no
10
Q
What is the etiology of febrile seizures?
A
- occur if temp is above 101.8 F
- occurs if there is a rapid increase in temp
- usually over before ED arrival
