Seizures & Headaches Flashcards

1
Q

defintion

A

sudden abnormal uncontrolled electrical firing in the brain

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2
Q

symptoms depend on what

A

brain location

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3
Q

classification of seizures (2)

A

generalized or focal

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4
Q

generalized

A

involve the whole brain

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5
Q

what is it called when both sides of the body react

A

tonic clonic

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6
Q

focal
- partial sezures

A

begin in one part of the brain

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7
Q

simple partial vs complex partial

A

simple partial is consciousness remains intact
complex partial is when there is impairment of consiousness

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8
Q

goal when seizure is occuring

A

stop it as quickly as possible

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9
Q

aura

A

portion of the seizures the occurs before consciousness is lost
subjective sensation

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10
Q

ictal

A

actual seizure activity

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11
Q

post icual

A

time after seizure

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12
Q

intraictual

A

time between seizures

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13
Q

epilepsy

A

a group of syndromes characterized by unprovoked reoccurring seizures

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14
Q

some causes of seizures

A

hypoxemia
fever
hypertension
brain tumor
drug and alcohol withdrawl

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15
Q

what to do during the seizure

A

time it
don’t put anything in mouth
don’t hold or grab

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16
Q

complications of seizures

A

injury from falls bumps or self inflicted bites
aspiration pneumonia
status epilepticus
permanet brain damage

17
Q

permanet brain damage
- why might this occur

A

increase metabolic demand
- which results in cerebral anoxia, edema and long term damage

18
Q

what is status epileptics

A

continuous seizure or a series of seizures from which a patient never recovers consciousness between attacks

19
Q

status epileptics
- depletes the energy stores, increases O2 consumption, increases metabolic demands =

A

cerebral anoxia and edema

20
Q

is status epileptics a medical emergency

21
Q

what drugs do we use to halt seizure activity

A

benzos
- lorazepam
- valium

22
Q

what drugs do we use to maintain seizure free state

A

phenytoin
phenobarbital

23
Q

why do we want to know about infection or illness when getting history

A

because infection can cause seizures

24
Q

diagnostics used

A

EEG
- measures brain activity
CT
MRI

25
lab studies
- drug levels - sodium - lytes - glucose - abgs
26
what is one of the first things you should do when you find out you have a patient with a history of seizures
patent IV
27
medications we can use as preventative (3)
dilantin depakote tegretol
28
what is a diet that might help
keto
29
what is a procedure that can be done to help
vagus nerve stimulation
30
what is a vagus nerve stimulator
device implanted in the chest and wired to vagus nerve
31
secondary vs primary types of headaches
primary: no known organic cause secondary: symptom with an organic cause
32
what are some medications that can cause headaches
nitrates vasodilators histamines alcohol
33