Partial Vs. Generalized Seizures Flashcards
Home management of seizures includes:
____ training for all family members.
Rectal diazepam available for _______ seizures.
Educate about use of _____ devices > While on a bike the kids should wear helmets.
CPR
Intractable
Safety
Home management of seizures includes:
Educate that child should NOT go ______ alone.
Educate parents on the awareness of schoolmates. _____ should educate classmates on the condition to prevent bullying.
Activity restriction based on _______ basis because of differences in clinical presentation and triggers.
Ex. Depends on triggers.
1. Flashing lights.
2. Video games.
Swimming
Teachers
Individualized
Pharmacological management of seizures: ______ is the treatment of choice for pediatric patients.
Gradually _____ the dose and introduce _______ medications to increase effectiveness.
Monotherapy
increase
adjunct
Pharmacological management of seizures:
Monitor for signs of TOXICITY. ________ is necessary ONLY if it is uncontrolled with monotherapy. One drug. ON EXAM.
Polypharmacy
Nursing goals:
Monitor for maintenance of anticonvulsant medications at ________ levels.
_________ the dosage of the child grows.
therapeutic
increase
Nursing goals:
Monitor patient for known side effects.
Avoid abrupt discontinuation of the medication this could cause the patient to go into seizures.
Educate patients on side effects.
Educate parents on side effects of abrupt discontinuation of medication. ______ dose reduction is a MUST.
Gradual
The time that the seizure started and stopped.
Was there an aura?
What was the trigger?
- Determine the history and cause of the seizure.
Was there a tonic/clonic phase?
Was there hypoxia? AEB Decreasing O2 sats.
Was there a post-ictal state?
Was it a febrile seizures or an afebrile seizures?
Ask the parents questions?
Ex. Have them mimic the seizure.
What parts of this assessment would the nurse document?
All of the above.
What criteria is required to D/C prophylactic seizure mediation?
When the patient is seizure free for ____ years.
When the patient produces a normal _____.
Slowly wean the patient off of the medication.
2
EEG
Avoid taking seizure medications during puberty. Menstrual bleeding increases the risk for seizures because of the increase in circulating _______.
Hormones
Avoid taking anticonvulsant medications when the patient has frequent ______. Why?
infections
Recurrence of seizures is HIGH RISK within the ______ year taken off of the medication.
FIRST
Healthcare Provider Induced Phenobarbital Coma is the treatment for what 4 types of seizures.
- Febrile seizures and neonatal seizures.
2. Generalized or Partial seizures
Phenobarbital Induced Coma administered by IV is the PRIORITY treatment when the patient does NOT respond to ________.
rectal diazepam
High doses for a Phenobarbital Induced Coma may require respiratory support up to and including ______.
ventilation
