Seizures

Question 1

What can cause a seizure? 6 cranial

Answer 1

Acidosis, hypoglycemia, hypoxia, withdrawal, Hypo/hyper naterimia, dehydration,

Question 2

What can cause a seizure? 8 extracranial

Answer 2

Heart disease, lung disease, sepsis, diabetes, hypertension, autoimmune disorders, idopathic

Question 3

What can cause a seizure just one to remember

Answer 3

infection

Question 4

Brain scar tissue

Answer 4

Glosis

Question 5

Stages of seizure

Answer 5

Prodromal, aural, Ictal, postictal

Question 6

Prodromal phase of seizure 4 s/s

Answer 6

Feeling or sensation that one will happen. Mood disorders, tremor, HA

Question 7

Aural

Answer 7

Aura it is beginning of ictal phase

Question 8

Ictal

Answer 8

time between the beginning and end of seizure

Question 9

Postictal

Answer 9

Post seizure

Question 10

Two things different about general compared to focal

Answer 10

Loss of consciousness, involves both sides of brain

Question 11

Typical absence seizures 5 and type

Answer 11

nonmotor, usually happens in kids, daydreaming look. EEG has a unique pattern 3Hz spike usually does not follow into adulthood. Generalized

Question 12

Atypical absent seizures 6 and type

Answer 12

Staring spell, lip and eye movement, somewhat responsive, commonly longer than 10 seconds, gradual beginning and end, goes into adulthood. Generalized

Question 13

Myoclonic seizure and type

Answer 13

Jerk of mm Generalized

Question 14

Atonic seizure and type

Answer 14

fall to ground. can resume generalized

Question 15

tonic 2 and time and type

Answer 15

stiff during sleep usually 20 seconds generalized

Question 16

clonic and type 2

Answer 16

loss of consciousness and mm tone jerking generalized

Question 17

Simple focal seizure 4

Answer 17

Remains aware, unusually feelings/sensations, sudden unexplained emotions, sensory hallucinations

Question 18

Complex focal seizures 4 and time?

Answer 18

Altered/impaired awareness, dreamlike experience, Automatisms, amnesia of seizure. a few seconds.

Question 19

Automatisms originate

Answer 19

temporal, frontal, limbic, paralimbic

Question 20

any generalized tonic clonic seizure that was preceded by an aura….

Answer 20

is a focal

Question 21

Status Epilepticus 3 things

Answer 21

the most serious complication of epilepsy (emergent) can involve anytime of seizure. A seizure lasting more than five mins, or set of reoccurring seizures in rapid succession without return to consciousness in between

Question 22

What does status epilepticus cause? 5

Answer 22

Ventilatory insufficiency, hypoxemia, cardiac arrhythmias, hyperthermia acidosis, The brain needs more energy than what is supplied=brain damage

Question 23

How to treat status epilepticus?

Answer 23

first rapid acting drugs-IV lorazepam or Diazepam ativan valium followed by long acting drugs.

Question 24

SUDEP is? follows? plan-2?

Answer 24

Sudden unexplained death in epilepsy. Seizure. Person should wear seizure stuff, nurse stay with until conscious.

Question 25

3 anti seizure drugs

Answer 25

Dilantin, tegretol, Depakote

Question 26

Dilantin action? Teaching?

Answer 26

Reduces voltage frequency and spread of electrical impulses. gingival hyperplasia

Question 27

Tegretol action? 3 issues?

Answer 27

Reduces synaptic reaction. WBC issues, visual issues, no grapefruit juice!

Question 28

depakote 5 things

Answer 28

Hepatoxic, menstrual irregularities, weight gain, risk to fetus, lab work to make sure therapeutic.

Question 29

Cannabidiol that works for seizures

Answer 29

Epidiolex

Question 30

4 things to know about anti seizure drugs,

Answer 30

Don’t abruptly stop, diplopia, regularly, bone marrow suppression

Question 31

tx for seizures one

Answer 31

Vagal nerve stimulation