SEIZURES Flashcards
1
Q
what is the tonic phase of tonic clonic seizures?
A
- eyes roll upward
- loss of LOC
- contraction of the entire body where arms are flexed
- BP and HR increases
- loss of swallowing reflex
- apnea–> cyanosis
2
Q
what is the clonic phase of tonic clonic seizures?
A
- violent jerking movements of the body
- rhythmic contraction and relaxation
- foaming in the mouth
- incontinence
- movement gradually slow and then stop
3
Q
how long does the clonic phase of a seizure last?
A
30-50 seconds
4
Q
how long does the tonic phase of a seizure last?
A
10-30 seconds
5
Q
what are risk factors of tonic clonic seizures?
A
- cerebral edema
- hypoglycemia, hypocalcemia, hyponatremia, hypomagnesemia
- hypernatremia
- alkalosis
6
Q
what is the postictal state and how long does it last?
A
postictal state lasts 30 minutes and this is where the patient is semiconscious and arouses with difficulty
7
Q
what is important for a nurse to do during an ongoing seizure?
A
- protect from injury
- maintain patent airway by laying patient in a side lying position
- be prepared to suction oral secretion and put nothing in child’s mouth
- note onset, time, and characteristics of seizure
8
Q
what is important for a nurse to do post seizure?
A
- maintain the side lying position
- neuro checks done every 15 minutes
- check inside of mouth
9
Q
what is status epilepticus?
A
one seizure lasting longer than 5 minutes or 2 seizures within 5 minutes
