Seizures Flashcards

(32 cards)

1
Q

What is a seizure

A

A sudden surge in electrical activity in the brain which can change behaviour, movement and levels of consciousness

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2
Q

What is epilepsy

A

Chronic seizures

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3
Q

What is a non epileptic psychogenic seizure

A

An event that looks like a seizure but is NOT caused by electrical activity int eh brain
psychogenic in nature

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4
Q

What can seizure be caused by

A
  1. Unknown cause
  2. Genetics
  3. Structural changes
  4. Structural abnormalities
  5. Autism
  6. Provoked seizure
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5
Q

What are secure with no known cause called

A

Idiopathic

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6
Q

How common are idiopathic seizures

A

Account for 6 out of 10 seizures

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7
Q

what structural changes may cause seizures

A
  1. Head injury
  2. Infection
  3. Stroke
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8
Q

Are structural changes leading to seizures permanent

A

They can be an isolated seizure or more chronic leading to epilepsy diagnosis

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9
Q

wHat do we mean by structural abnormalities leading to seizures

A

A congenital brain defect that may cause seizures

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10
Q

What can provoke a seizure

A
  1. Drugs
  2. Alcohol withdrawal
  3. Imbalances such as hypoglycaemia or hypoxia
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11
Q

How may different types of seizures are there

A

40

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12
Q

Name the 2 main groups seizures fall under

A
  1. Focal seizures

2. Generalised seizures

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13
Q

When do focal seizures occir

A

When seizure activity is limited to one part of a single Brian hemisphere

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14
Q

How are focal seizures grouped

A

According to whether awareness is retained or lost during seizure activity

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15
Q

When do generalised seizures occur

A

When there is widespread seizure activity in both brain hemispheres

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16
Q

Name the most common generalised seizure

A

Tonic clonic seizure

17
Q

Talk through the stages of tonic clonic seizures

A
  1. Warning (prodrome)
  2. Stiffness (tonic)
  3. Shaking (clonic)
  4. Drowsy (post ictal)
18
Q

What can happen in the warning stage of a tonic clonic seizure

A

A wide range of symptoms specific to the individual may occur ranging from feeling irritable to sensory hallucinations

19
Q

How long does the warning stage of a tonic clonic seizure last

A

brief to hours

20
Q

What can happen in the warning stage of a tonic stiffness seizure

A

Muscles become rigid including respiratory muscles resulting in short period of apnoea
Grunting noises may occur as air is forced from the lungs

21
Q

How long does the stiffness stage of a tonic clonic seizure last

22
Q

What can happen in the warning stage of a tonic shaking seizure

A

Widespread disco-ordinated muscle movement and in some cases incontinence

23
Q

How long does the stiffness stage of a tonic clonic seizure last

24
Q

What can happen in the drowsy stage of a tonic shaking seizure

A

A period of drowsiness and/or confusion following the termination of seizure activity

25
How long does the drowsy stage of a tonic clonic seizure last
Minutes to 24 hours
26
What re the stages we go through when managing a tonic clonic seizure
1. Safety 2. Postion 3. Oxygen 4. Time 5. Midazolam
27
What do we mean by safety when managing a tonic clonic seizure
Consider the safety of both the patient and yourself Lower the dental chair Remove an items or obstacles that may cause input
28
What do we mean by position when managing a tonic clonic seizure
1. Airway mangement 2. Lay patient flat and encourage a head tilt, chin lift position 3. Do not brace or hold the patient in position 4. Once seizure ended place patient in recovery position
29
What do we mean by oxygen when managing a tonic clonic seizure
Administer 15 litres per minute oxygen via a non re breather mask
30
What do we mean by time when managing a tonic clonic seizure
Call an ambulance if: 1. Patients first seizure 2. Seizure lasts more than 5 mins 3. patients had had 3 seizures in 1 hour
31
When is midazolam indicated
Indicated in patients who have a history of prolonged or serial seizures
32
What isa prolonged seizure
Longer than 5 mins