Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

5TH YR- Dental Medical Emergencies > seizure > Flashcards

seizure Flashcards

You may prefer our related Brainscape-certified flashcards:
USMLE® Step 1 flashcards
1
Q

What are some characteristics of a seizure

A
  1. Loss of consciousness
  2. Erratic muscular movements
  3. Grunting noises
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is the first line of action is we suspect a patient is having a seizure

A
  1. Lay patient flat
    2 Give 15L oxygen via non re breather mask
  2. Maintain patient safety
  3. Check for a seizure care plan
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What should we note if we suspect the patient is having a seizure

A

Note the time

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

After delivering the first lien of care for a seizure what is the next course of treatment dependent on

A
  1. Has the seizure resolved in 5 mins
  2. Did the seizure end after 5 mins
  3. Did the seizure reoccur
  4. Has the patient has other seizure in the past hour
  5. Does the patient have a history of seizure
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

If the seizure end within 5 mins and the patient sustains no injuries what is our next course of treatment

A
  1. Support and monitor the patient through the post octal phase
  2. Reassess patient using ABCDE
  3. Check capillary blood glucose
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

If the seizure lasts longer than 5 mins seizure but the patient has a history of prolonged seizures what is our next course of treatment

A
  1. Follow the patients care plan
  2. Give 10mg of buccal midazolam
  3. call 999
  4. Reassess patient using ABCDE
  5. Check capillary blood glucose
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

If the seizure end within 5 mins but reoccurs 3 times in the next hour what is our next course of treatment

A
  1. Call 999
  2. Reassess patient using ABCDE
  3. Check capillary blood glucose
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

If the seizure lasts longer than 5 mins seizure and the patient has no history of prolonged seizures what is our next course of treatment

A
  1. Call 999
  2. Reassess patient using ABCDE
  3. Check capillary blood glucose
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

If this is the patients first seizure what is our next course of treatment

A
  1. Call 999
  2. Reassess patient using ABCDE
  3. Check capillary blood glucose
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

When should we call 999 if a patient has a seizure

A
  1. Prolonged or serial seizures
  2. First seizure
  3. Injury sustained requiring ambulance 4. When midazolam indicated
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

If follwougn a reassessing there is no abnormalities in the ABCDE assessment what should we do

A

Plan for safe discharge and discuss care plan with patient

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Describe the characteristics of a partial seizure

A

Focused erratic movements

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Describe the characteristics of a tonic clonic seizure

A

Widespread erratic movements
2. Grunting
3. Incontinence,
4. frothing,
5. tongue biting

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Talk through the way we structure seizure management

A

Safety
Time
Oxygen
Prolonged
Plan

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What do we mean by safety when managing seizures

A
  1. Remove any objects from the mouth
  2. Clear the environment
  3. Supine position to support the head
  4. Monitor airway
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What do we need to record if a patient is having a seizure

A

Record the start and finish time of the seizure

17
Q

How much oxygen to we need to administer if a patient is having a seizure

A

15 L of oxygen via a non rebreather mask

18
Q

How long do we administer oxygen is a patient is having a seizure

A

The whole duration of the seizure

19
Q

What can Seizure activity lasting longer than 5 minutes or 3 repeat seizures indicate

A

Status epilepticus
ALWAYS call 999

20
Q

When is midazolam indicated in a patient having seizure

A

If the patient has a history of prolonged or serial seizures

21
Q

What dose of Midazolam do we give to a 2-4 yr old child

A

5 milligrams (0.5ml)

22
Q

What dose of Midazolam do we give to a 5-9 yr old child

A

7.5 milligrams (0.75ml)

23
Q

What dose of Midazolam do we give to a child older than 10

A

10 milligrams (1ml)

24
Q

What dose of Midazolam do we give to a 5-9 yr old child

A

10 milligrams (1ml)

25
Q

How long do most tonic clonic seizure last

A

2-3 minutes

26
Q

What can cause seizure activity

A

Hypoglycaemia
Hypoxia

27
Q

What is Midazolam associated with

A

Drowsiness and respiratory depression

28
Q

What can seizure be mistaken for

A
  1. Syncope
  2. Hypoglycaemia
29
Q

List some unique characteristics that confirm seizure over syncope

A
  1. Typically lasts 2-3 mins
  2. Erratic muscle activity
  3. Frothing of the mouth
  4. Head turning to one side
  5. Tongue biting
  6. Incontinence
  7. Post octal phase
30
Q

List some unique characteristics that confirm syncope over seizure

A
  1. Typically lasts 20-30 seconds
  2. Topically complete and spontaneous recovery
31
Q

What characteristics do seizures and syncope have in common

A
  1. Loss of postural tone
  2. Loss of consciousness
32
Q

List some unique characteristics that confirm seizure over hypoglycaemia

A
  1. Typically lasts 2-3 mins
  2. Erratic muscle activity
  3. Frothing of the mouth
  4. Head turning to one side
  5. Tongue biting
  6. Rapid loss of consciousness
  7. Patient experiences an aura or sensory hallucinogenic just before seizure occurs
33
Q

List some unique characteristics that confirm hypoglycaemia over seizure

A
  1. Gradual deterioration of consciousness
  2. Patietn was hungry, shaking or seating prior to symptoms beginning
34
Q

What characteristics do seizures and hypoglycaemia have in common

A
  1. Loss of consciousness
  2. Low capillary blood glucose
  3. Patient was irritable, confused or had a headache prior to symptoms occurring
35
Q

What does midazolam of

A

It reduces nerve cell firing in the brain and muscles

36
Q

What can midazolam do

A
  1. Can reduce seizure activity
  2. Can read e shaking
37
Q

What are some serious side effect of midazolam

A
  1. Low respiratory rate
  2. Hypoxia
  3. Low heart rate
  4. Low blood pressure
38
Q

When is midazolam indicated

A

Indicated in prolonged seizure or serial seizure

39
Q

What is the adult dose of midazolam

A

10mg bucally once only

5TH YR- Dental Medical Emergencies (3 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions