Chapter 52: Seizures Flashcards Preview

Pediatrics Final Final Exam > Chapter 52: Seizures > Flashcards

Flashcards in Chapter 52: Seizures Deck (16):

Most Important Thing to assess after head injury is?

1. LOC


Second Impact syndrome

1. A second concussion may cause more harm to the brain and may even lead to death
2. Talk with health provider before child returns to activities or sports


Head Injury Can Cause?

1. Change in a child's behavior


1st Action to Take when Child has Seizure?

1. Turn the child on their side to prevent ASPIRATION


Glascow Coma Scale Measures what 3 things?

1. Eye opening
2. Verbal response
3. Motor response


What will you see in a child after a tonic clonic seizure?

1. Fatigue



1. Excessive abnormal discharge of neurons


Generalized Seizures

1. Consciousness is impaired
2. Involvement of both cerebral hemispheres
3. Onset at any age


Tonic-Clonic Seizures (grand-mal)

1. Cause an abrupt arrest of activity and impairment of consciousness
2. Tonic phase consists of a sustained generalized stiffening of muscles
3. Clonic phase is symmetrical and rhythmic, consisting of alternating contraction and relaxation of major muscle groups
4. Tonic-clonic seizure is followed by a variable period of confusion, lethargy , and sleep (postictal phase)


Tonic-Clonic Seizure
-What follows the seizure?

1. The tonic-clonic seizure is followed by a variable period of confusion, lethargy and sleep (postictal phase)


Atonic Seizures

1. Cause an abrupt loss of postural tone
2. Child may experience head drop or a drop attack
-fall to the ground, often face down, lose consciousness for a few seconds


Myoclonic Seizures

1. Brief, random contractions of a muscle group, followed by loss of muscle tone and forward falling
2. Can occur as early as 2 months of age
-most often seen in school-age children or adolescents


Absence Seizures (Petit mal seizures)

1. No muscle activity occurs except for upward rolling of the eyes
2. The child has a blank facial expression
3. Only last 5 to 10 seconds or less
-may occur hundreds of times per day
4. Children immediately return to activity they were participating in prior to the seizure ***


Focal Seizures

1. limited functional area in one hemisphere of the brain is involved
-symptoms on only one side of the body
2. An AURA is part of a focal seizure
3. Children may exhibit automatisms which are repetitive non-purposeful movements


Status Epilepticus

1. A prolonged seizure lasting more than 30 minutes with no return to a normal level of consciousness
2. Most common form of status epilepticus is generalized status, which has the highest potential for complications and possible death


What is one of the 1st drugs given in the ER for a Tonic-clonic seizure?

1. Ativan