Brainscape's Knowledge GenomeTM

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


See full index

Seizure > seizure > Flashcards

seizure Flashcards

0
Q

What two drugs lower threshold of seizure?

A

Wellbutrin wel seizure

Tramadol tremodol

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

What do you order with new onset seizure?

A 
Ct acute
MRI w/ and w/o contrast (kidney)
EEG 
Electrolytes
Tox screen
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

New onset seizure

A

MRI w and wo contrast if creatine fine.

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

Rules about tpa post care

A

No vein puncture
No imaging
No arterial sticks
Always do nih stroke scale

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

What do you cause a EEG during seizure.

A

Interictal seizure.

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

Tongue biting is consistent with.

A

Generalized clinic tonic seizure.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Features of generalized seizures

A

Sudden. No warning
1 min
Incontinence

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

How can you provoke an absence seizure.

A

Hyperventilate for 3 year.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Describe myoclonus 5

A 
Sudden 
Short 
Irregular
Extremities
No loss of conscious
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is it called when brief sudden fall.

A

Sudden loss of muscle tone
Don’t lose conciousness
Have other types of seizure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What suggests partial

A

Automatism

Aura

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are examples of automatism

A

Swallowing
Picking at clothes
Chewing

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

What can confuse you with seizure vs cardiogenic syncope

A

Cardiogenic can have myoclonus

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

What do you call it when a partial goes to generalized

A

Partial seizure with secondary generalization.

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

Why take a blood pressure after seizure.

A

Suggests arrythmia.

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

How do you differentiate pseudo vs organic seizure.

A

Ammonia capsule

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Is Dilantin soluble is glucose.

A

No

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Max does of phosphenytoin

A

30 mg/ kg

(15 mg/kg) wait 30 then another another 15

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Order of seizures meds in status

A 
Ativan 4
Phosphenytoin 15
Phosphenytoin 15 mg kg iv
Phenobarbital 20 mg/kg 100/ min
Ventilate
Vasopressor 
Propofol
Pentobarbital 5 to 12

Booster dose of pheno 5 mg q 20

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

If seizure meds bottom out you bp?

A

Dopamine

Saline

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Manage seizure

A 
Intimate
Vent
Pulses. Blood pressure
Vitals pulse ox
Iv.  Glu and lab
Thiamine 100 and glucose 50 50
Lay on side pad rails
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Max dose of rectal valium

A

20 mg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Time defining status

A

Technically 30

In practice 10

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Most important body part for evaluation seizures

A

Tongue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

6 Q a for acute seizure.

A 
Still?
How long? 
Loc?
1st
Any med
Diabetic or immuno
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

What is the difference between Ativan and Valium.

A

Valium is quick on quick off
Ativan lasts 4 hr 12 time longer
Valium lasts 20 min

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Pt seizing with low glucose tx

A

50 of 50

50 ml of 50w

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Pt seizing with alcohol history give

A

Thiamine 100 mg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Protocol for acute seizure tx

A
  • Ativan 2 mg x4 (Im, Val paste$
  • Phosphenytoin 500 over 5 x 3 ( don’t exceed 200 mg min
  • or 10 mg/kg bolus if on Dilantin
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

What percentage of seizures controlled by Ativan and phosphenytoin

A

70 percent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Testing aphasia after seizure

A

Count backward from 20

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Loading dose of phosphenytoin 15 to20 mg kg

A

15 to 20 mg per kg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

How to protect against aspiration with stroke.

A

NG tube

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

When do you of an LP with no MRI

A

When no mass is found

34
Q

What do you call it when you feel like you don’t deserve you success. Waiting for some one to find you out

A

Imposter syndrome

35
Q

Alheimers associated with

A

Seizure.

-co2 rarely causes seizure

36
Q

How long do you have to wait before we can do an MRI after a sx with staples.

A

6 weeks

37
Q

When do night terrors occur

A

Early in night stage 3
Rem is with strory
Have as a kid

38
Q

Does stage three have story

A

No, only flash of light or quick images

39
Q

When do you seize in sleep stage

A

Stage 1. When everything discharges

Not stage 3

40
Q

Vertigo and vertigo test

A

Eng vestibular testing

41
Q

Benign causes of seizures in kids

A

Breathing holding spells
Night terrors
Pseudoseizureo

42
Q

What is the problem with EEG

A

They aren’t sensitive
25 to 50 sens
80 specific

43
Q

Associated symptoms of syncope

A 
Warm
Lightheaded
Sweating
facial pallor
Bounce back fast in and out
Flutter
44
Q

Can you get seizure like activity with syncopy

A

Jerking. From hypo perfusion

45
Q

Can tongue biting occur with syncope

A

Yes but just the tip

46
Q

Seizure symptoms

A 
Post octal confusion
Aura
Repetitive chewing or lips making
Lateral biting
Anion gap transcient
Head turning to one side
47
Q

Symptoms of pseudo

A 
Side to side head movement
Changing symptoms
Rapid tecovery
Entire body with a logic march!!!
No diuresis
Tongue biting
48
Q

Most common symptoms associated with conversion

A

Weakness and seizure

49
Q

Percent of pts who have a hemorrhagic stroke who are ct negative and conversion with tpa

A

0

50
Q

What type of stroke do you have to worry about seizure

A

Temporal

51
Q

What do you call it when you have amygdala removal

A

Joubert bucy

52
Q

What do you call a seizure involving laughter.

A

Gelastic seizures

53
Q

What do you order image w seizure

A

Coronal flair to see hippocampus

-with contrast

54
Q

Why is reactive seizure treated differently than epilepsy

A

No meds needed

55
Q

How common febrile seizure

A

3 percentage

56
Q

What age does febrile seizure occur

A

3 mo to 5 year

57
Q

What percent of febrile sx get epilepsy

A

Less than a ten percent chance

58
Q

Define status

A

2 seizures without recovery
Or
5 min of seizure

59
Q

Where did they get the 30 min def for status

A

30 min bc animal studies

Damaged neurons

60
Q

How long does it take for ldh, pulmonary eds. Rhabdo to occur

A

30 min

61
Q

Partial seizure assoc with automisms

A

Complex partial. Loc

62
Q

What do you call it when a partial turns into a general seizure

A

Secondary generalized from a partial

63
Q

Are absence seizures loc

A

Poor awareness

Confused

64
Q

Red flag for psychogenic

A

Side to side

Awake with b/ l movent

65
Q

Signs of status on exam

A

Rhythm is pupil dilation

66
Q

What percent of status is treated by Ativan

A

50 percent

67
Q

Ativan is a temporary fix so ehat should you do afterwards

A

Get them on phosphenytoin

68
Q

Why should you get the on monitor after seizure.

A

Ncse

69
Q

Dose of phosphenytoin

A

20 mg kg pe

70
Q

Complication of phosphenytoin

A

Drop in vitals

71
Q

Why do you have to mix phosphenytoin with saline

A

Glucose with precipitate

72
Q

Differences bw phosphenytoin and phenytoin

A

Phos is im
Les irritant on veins
3 times as fast
But expensive

73
Q

Crmp2 or aka

A

Collapsin response
Mediator protein
Inh is neuroprotective

74
Q

Where is the brain region associated with neglect

A

Inferior parietal

75
Q

Can you get neglect with left parietal

A

Yes. Not as strong

76
Q

Location of praxis

A

Parietal

77
Q

What are they looking for on EEG when you give Ativan

A

Burst suppression

78
Q

What do you use see on an MRI with and without contrast on a patient who has seizures that could suggest a structural issue.

A

Temporal lobe sclerosis

79
Q

How do we load depakote

A

2000 mg load

500 mg q 8 hr

80
Q

Which drugs make myoclonic worse

A

Dilantin
Neurology
Neurontin

81
Q

Causes of low sodium levels

A

Trileptal

Tegretol

82
Q

Breast cancer plus cerebellar atrophy

A

Paraneoplasm

Subacute cerebellar

Seizure (4 decks)

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