Unit 14 - Seizures Flashcards
Abnormal episodes of motor, sensory, autonomic, or psychic activity (or a combination of these) resulting from a sudden, abnormal, uncontrolled electrical discharge from cerebral neurons
seizures
_____:
Characterized by recurrent unprovoked seizures
May have an underlying cause
Epilepsy:
originates in one hemisphere ( partial)
focal
occur and engage bilaterally
generalized
related to acute, reversible condition
provoked
most common in children
Tonic–clonic ( grandmal)
LOC is decreased and the client is often sleepy but arousable.
Postictal period
T/F: Aura may precede seizure: as any type of sensory alteration ranging from odor and taste to vision
T
are unconsciousness and continuous muscular contraction
Tonic phase
Basal metabolic rate rises (reason for use of _____ dextrose)
- may become _____
50%
hypoglycemic
increases body’s demand for _____
oxygen
T/F: Many seizures are self-limiting and require no emergency intervention.
T
AEDs (do, Do not) cure disorder
Do not
need to know seizure antileptic drug
phenytoin
T/F: Because phenytoin (Dilantin) can cause gingival hyperplasia, good dental hygiene should be encouraged.
T
Continuous seizure that lasts more than 30 minutes or a series of seizures
Status Epliepticus
2 medications for status epilepticus
diazepam, lorazepam IV repeated in 10 minutes
Status Epilepticus: _____ IV for longer-term control
phenytoing
are febrile seizures usually treated
no
generalized seizure > _____ minutes
10
use _____ for intractable seizures
multiple
does a ketogenic diet help with seizures
yes
should a seizure patient ween off of trial AED
yes
_____ _____ are seen in 5% of children on a ketogenic diet.
Renal calculi
The ketosis from caused by the ketogenic diet is believed to produce _____ effects.
anticonvulsant
- Place _____ in mouth during seizure
- Position on_____ so secretions can drain
- Monitor to ensure adequate _____
- Protect client from _____-_____
- Pad side rails
- Frequent seizures -> helmet
- Medical alert bracelet
- Administer _____ medications cautiously
- Place nothing in mouth during seizure
- Position on side so secretions can drain
- Monitor to ensure adequate oxygenation
- Protect client from self-harm
- Pad side rails
- Frequent seizures helmet
- Medical alert bracelet
- Administer IV medications cautiously
