Seizures

Question 1

aura

Answer 1

pt hallucinates a sight/smell/sound or sense of deja vu - indicates imminent seizure

Question 2

automatism

Answer 2

preictal behaviors - pt picks at clothes, smacks lips, unaware of surroundings

Question 3

carbamazepine

Answer 3

can cause leukopenia, no grapefruit juice

Question 4

pt education with seizure meds

Answer 4

dose based off blood levels - take on time, do not stop taking

Question 5

status epilepticus

Answer 5

continuous seizure or rapid succession of multiple; lasting over 5 minutes - emergency

Question 6

complications of status epilepticus

Answer 6

permanent brain damage, hypoxia, hypotension, hypoglycemia, dysrhythmias

Question 7

medications

Answer 7

lorazepam, diazepam, carbemazepine
phenytoin - prevent more seizures & MI

Question 8

phenytoin considerations

Answer 8

no anticoag, monitor oral hygiene, monitor CBC