ATI Ch 6 Seizures Flashcards Preview

Nursing 281 > ATI Ch 6 Seizures > Flashcards

Flashcards in ATI Ch 6 Seizures Deck (23):
1

Epilepsy

disorder of chronic reoccurring seizures

2

Risk factors for seizures

genetics, acute fever, cerebral edema, metabolic disorder, hypoxia, fluid imbalance, CV disease

3

Absence seizures transmission

tend to be genetic

4

Febrile seizures population

seen mostly in infants under 2

5

Seizures from head trauma timeframe

can occur up to 9 months after injury

6

Cause of seizures in metabolic disorders

insufficient or excessive chemicals in the brain (hypoglycemia or hyponatremia)

7

Seizure triggers

increased activity, fatigue, stress, ETOH, caffiene, chemical ingestion

8

generalized/tonic-clonic seizure beginning

begins with an aura (can be a smell, vision or feeling)

9

tonic episode description

lasts 15-20 sec, stiff muscles and loss of consciousness
possible irregular breathing or respiratory arrest

10

Clonic episode description

1-2 min, rhythmic jerking, may bite tongue or be incontinent

11

postictal phase

after the seizure
can be confused and sleepy

12

Myoclonic seizure description

brief jerking or stiffening on one or both sides that last for a few seconds

13

Atonic or akinetic seizure description

loss of muscle tone, PT will fall and be confused after the seizure

14

complex partial seizure description

they are associated with automatisms (lip smacking, picking at clothes) that they are not aware of, possible LOC and amnesia

15

Simple partial seizures description

conscious during, have unusual sensations (deja vu, flushing, HR change, pain) very hard to pinpoint

16

unclassified/idiopathic seizures

dont fit into other categories, no known cause, account for 1/2 of seizures

17

Lab test for seizures procedures

no caffiene 6-9 hours before, wash hair and leave clean, may be exposed to flash of deep breathing

18

Therapeutic drug levels test

determined by blood test

19

Anitiepileptic drug adverse effects

can cause gum overgrowth
allergic reaction can occur right away or months into tx

20

Dilantin cautions

no oral contraceptives (decrease effectiveness), do not give w/ warfarin

21

Surgical option for seizures

vagal nerve stimulator put into portion of brain w/ seizures
can have portion of the brain removed or interrupted

22

Status Eplilepticus

seizure >30min, provide O2

23

Dilantin IV

can not be mixed with any other med, must have own tubing and not piggybacked