Seizures

Question 0

most susceptible groups for epilepsy

Answer 0

infants (w/in 1st yr)

elderly w. atherosclerosis (narrow vessels)

Question 1

1st thing to do with pt during seizure

Answer 1

put pt on their side

Question 2

recurrent unprovoked seizures secondary to a CNS disorder

Answer 2

Epilepsy

Question 3

one cerebral hemisphere effected
no alteration in consciousness
***motor portion of cortex is affected, recurrent muscle contractions

Answer 3

simple partial seizures

Question 4

portion of cortex affected during simple partial seizures

Answer 4

motor portion

Question 5

one cerebral hemisphere
usually originate in temporal lobe
impaired consciousness
automatisms 
amnesia

Answer 5

complex partial seizure

Question 6

in complex partial siezures, one cerebral hemisphere effected in which lobe

Answer 6

temporal lobe

Question 7

involve both hemispheres
impaired LOC
sudden brief cessation of all motor activity followed by blank stare

Answer 7

absence seizures

Question 8

compromised during tonic phase

Answer 8

airway compromised

Question 9

when to call 911

Answer 9

seizure longer than 5min
trouble breathing
continue in cycle w/o breaks in between

Question 10

things to do during a seizure

Answer 10

1. put pt on side
2. move items away
3. keep something soft under head
   * **time the seizure
   * **dont try and hold pt dow
   * **dont put stuff in mouth

Question 11

phase consists of
\:tonic muscle contraction 
	forcing air out of lungs (epileptic cry)
\:rigid muscles
\:breathing ceases (cyanosis)

Answer 11

tonic phase

Question 12

alternating contraction and relaxation
hyperventilation
eyes roll back
froths from mouth

Answer 12

clonic phase

Question 13

phase where pt is
:unconscious and unresponsive to stimuli
:relaxed and breathes quietly
:amnesia

Answer 13

postical phase

Question 14

status epilepticus interventions

Answer 14

hang D5W IV
check O2 sats and glucose every 30min
***Airway is priority

Question 15

continuous seizure activity
very short periods of calm between
greater danger of hypoxia, acidosis, hpoglycemia, hyperthermia

Answer 15

status epilepticus

Question 16

seizure actions plan

Answer 16

in place until seizure free for 1yr

:either end seizure meds or lower dose

Question 17

postical period interventions

post ictal

Answer 17

monitor vitals
perform neuro checks
ensure safety

Question 18

nursing diagnoses

Answer 18

ineffective breathing pattern
ineffective airway clearance
chronic low self esteem

Question 19

during seizure, dont hang…

Answer 19

dont hang D5W
removes fluid out of cells (hypertonic)
hang NS or lactated ringers
want things to stay in cells (isotonics)

Question 20

EEG pt teaching

Answer 20

no caffeine for 6-9hrs prior to procedure
wash hair before procedure
food may be consumed morning of procedure
sleep may be withheld prior to test and induced during test