Unit 14 - Seizures

Question 1

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

Answer 1

seizures

Question 2

_____:
Characterized by recurrent unprovoked seizures
May have an underlying cause

Answer 2

Epilepsy:

Question 3

originates in one hemisphere ( partial)

Answer 3

focal

Question 4

occur and engage bilaterally

Answer 4

generalized

Question 5

related to acute, reversible condition

Answer 5

provoked

Question 6

most common in children

Answer 6

Tonic–clonic ( grandmal)

Question 7

LOC is decreased and the client is often sleepy but arousable.

Answer 7

Postictal period

Question 8

T/F: Aura may precede seizure: as any type of sensory alteration ranging from odor and taste to vision

Answer 8

T

Question 9

are unconsciousness and continuous muscular contraction

Answer 9

Tonic phase

Question 10

Basal metabolic rate rises (reason for use of _____ dextrose)

• may become _____

Answer 10

50%

hypoglycemic

Question 11

increases body’s demand for _____

Answer 11

oxygen

Question 12

T/F: Many seizures are self-limiting and require no emergency intervention.

Answer 12

T

Question 13

AEDs (do, Do not) cure disorder

Answer 13

Do not

Question 14

need to know seizure antileptic drug

Answer 14

phenytoin

Question 15

T/F: Because phenytoin (Dilantin) can cause gingival hyperplasia, good dental hygiene should be encouraged.

Answer 15

T

Question 16

Continuous seizure that lasts more than 30 minutes or a series of seizures

Answer 16

Status Epliepticus

Question 17

2 medications for status epilepticus

Answer 17

diazepam, lorazepam IV repeated in 10 minutes

Question 18

Status Epilepticus: _____ IV for longer-term control

Answer 18

phenytoing

Question 19

are febrile seizures usually treated

Answer 19

no

Question 20

generalized seizure > _____ minutes

Answer 20

10

Question 21

use _____ for intractable seizures

Answer 21

multiple

Question 22

does a ketogenic diet help with seizures

Answer 22

yes

Question 23

should a seizure patient ween off of trial AED

Answer 23

yes

Question 24

_____ _____ are seen in 5% of children on a ketogenic diet.

Answer 24

Renal calculi

Question 25

The ketosis from caused by the ketogenic diet is believed to produce _____ effects.

Answer 25

anticonvulsant

Question 26

• 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

Answer 26

• 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