By Evelyn Stone, RN., BSN. M.Ed.. Brain disorder Repeated Convulsions There is an abnormal &...
-
Upload
lorin-ford -
Category
Documents
-
view
219 -
download
0
Transcript of By Evelyn Stone, RN., BSN. M.Ed.. Brain disorder Repeated Convulsions There is an abnormal &...
![Page 1: By Evelyn Stone, RN., BSN. M.Ed.. Brain disorder Repeated Convulsions There is an abnormal & sudden change in how the neurons send electrical signals.](https://reader037.fdocuments.us/reader037/viewer/2022103005/56649d195503460f949eed8d/html5/thumbnails/1.jpg)
By
Evelyn Stone, RN., BSN. M.Ed.
![Page 2: By Evelyn Stone, RN., BSN. M.Ed.. Brain disorder Repeated Convulsions There is an abnormal & sudden change in how the neurons send electrical signals.](https://reader037.fdocuments.us/reader037/viewer/2022103005/56649d195503460f949eed8d/html5/thumbnails/2.jpg)
Brain disorder
Repeated Convulsions
There is an abnormal & sudden change
in how the neurons send electrical signals
May develop at any time
![Page 3: By Evelyn Stone, RN., BSN. M.Ed.. Brain disorder Repeated Convulsions There is an abnormal & sudden change in how the neurons send electrical signals.](https://reader037.fdocuments.us/reader037/viewer/2022103005/56649d195503460f949eed8d/html5/thumbnails/3.jpg)
2.5 million Americans
Each year in the US 300,000 people have a seizure for the 1st time
120,000 people are younger than 18
181,000 are diagnosed with a seizure disorder
![Page 4: By Evelyn Stone, RN., BSN. M.Ed.. Brain disorder Repeated Convulsions There is an abnormal & sudden change in how the neurons send electrical signals.](https://reader037.fdocuments.us/reader037/viewer/2022103005/56649d195503460f949eed8d/html5/thumbnails/4.jpg)
Brain disease – some conditions affecting the brain may be present at birth
Develop later in lifeScar tissue in the brainHead InjuryStrokeBrain Tumor
![Page 5: By Evelyn Stone, RN., BSN. M.Ed.. Brain disorder Repeated Convulsions There is an abnormal & sudden change in how the neurons send electrical signals.](https://reader037.fdocuments.us/reader037/viewer/2022103005/56649d195503460f949eed8d/html5/thumbnails/5.jpg)
Congenital - caused by the brain not developing normally before birth
Family history - genetic Infections - Bacteria & virusesEnvironmental – Toxins, carbon
monoxide,Lead
![Page 6: By Evelyn Stone, RN., BSN. M.Ed.. Brain disorder Repeated Convulsions There is an abnormal & sudden change in how the neurons send electrical signals.](https://reader037.fdocuments.us/reader037/viewer/2022103005/56649d195503460f949eed8d/html5/thumbnails/6.jpg)
Depends on the part of the brain is affectedLasts a few seconds to a few minutesConfusionWide open eyes that may have a blank stareJerking of hands, legs, or faceStiff arms and legsLoss of consciousnessConstant lip smacking
![Page 7: By Evelyn Stone, RN., BSN. M.Ed.. Brain disorder Repeated Convulsions There is an abnormal & sudden change in how the neurons send electrical signals.](https://reader037.fdocuments.us/reader037/viewer/2022103005/56649d195503460f949eed8d/html5/thumbnails/7.jpg)
Generalized – affect both sides of the brain
Lose consciousness Partial Seizures – Most common
Limited to a specific area on the brain
Lennox Gastaut - early onset of a common seizure type called minor motor seizures, myoclonic seizures, atypical absence seizures
![Page 8: By Evelyn Stone, RN., BSN. M.Ed.. Brain disorder Repeated Convulsions There is an abnormal & sudden change in how the neurons send electrical signals.](https://reader037.fdocuments.us/reader037/viewer/2022103005/56649d195503460f949eed8d/html5/thumbnails/8.jpg)
Blood testsCT Scan A special x-ray to take pictures of
the brainEEG - paper tracing of the brainLumbar Puncture – spinal tapMRI – Magnetic Resonance ImagingPositron Emission Tomography Scan shows
the area of the brain causing the seizure
![Page 9: By Evelyn Stone, RN., BSN. M.Ed.. Brain disorder Repeated Convulsions There is an abnormal & sudden change in how the neurons send electrical signals.](https://reader037.fdocuments.us/reader037/viewer/2022103005/56649d195503460f949eed8d/html5/thumbnails/9.jpg)
Anticonvulsant medicine – Dilantin, Depakote, Lamictal, Phenobarbital, Neurontin, & other medications.
Surgery
Vagus nerve stimulation A small device sends electrical energy to the brain through vagus nerve
![Page 10: By Evelyn Stone, RN., BSN. M.Ed.. Brain disorder Repeated Convulsions There is an abnormal & sudden change in how the neurons send electrical signals.](https://reader037.fdocuments.us/reader037/viewer/2022103005/56649d195503460f949eed8d/html5/thumbnails/10.jpg)
Prevent injury Do not hold or tie the person down Turn the person on the side to prevent aspiration/choking Do not place anything in the person’s mouth Do not pour any liquids in the person’s mouth Do not try to force the teeth apart Stay with the person until the seizure ends Time the seizure Watch the type of movement the person is doing
Turn the person to the side
![Page 11: By Evelyn Stone, RN., BSN. M.Ed.. Brain disorder Repeated Convulsions There is an abnormal & sudden change in how the neurons send electrical signals.](https://reader037.fdocuments.us/reader037/viewer/2022103005/56649d195503460f949eed8d/html5/thumbnails/11.jpg)
Treatment may cause unpleasant side effects
Seizure medication may cause slurred speech
RashFeverClumsinessDrowsiness
![Page 12: By Evelyn Stone, RN., BSN. M.Ed.. Brain disorder Repeated Convulsions There is an abnormal & sudden change in how the neurons send electrical signals.](https://reader037.fdocuments.us/reader037/viewer/2022103005/56649d195503460f949eed8d/html5/thumbnails/12.jpg)
Call 911Place something soft under the
person’s headLoosen tight clothingStay with the person till the seizure
endsWatch the movement of the hands
![Page 13: By Evelyn Stone, RN., BSN. M.Ed.. Brain disorder Repeated Convulsions There is an abnormal & sudden change in how the neurons send electrical signals.](https://reader037.fdocuments.us/reader037/viewer/2022103005/56649d195503460f949eed8d/html5/thumbnails/13.jpg)
Epilepsy Foundation (800) 332-1000
www.epilepsyfoundation.org
Community Epilepsy Support Group
![Page 14: By Evelyn Stone, RN., BSN. M.Ed.. Brain disorder Repeated Convulsions There is an abnormal & sudden change in how the neurons send electrical signals.](https://reader037.fdocuments.us/reader037/viewer/2022103005/56649d195503460f949eed8d/html5/thumbnails/14.jpg)
Conclusion Remember Safety Time the seizure Know what meds the client is on Turn client to side to prevent aspiration Call 911 if the seizure is in doubt Notify the director Notify the legal guardian/parent Notify the “Q”
![Page 15: By Evelyn Stone, RN., BSN. M.Ed.. Brain disorder Repeated Convulsions There is an abnormal & sudden change in how the neurons send electrical signals.](https://reader037.fdocuments.us/reader037/viewer/2022103005/56649d195503460f949eed8d/html5/thumbnails/15.jpg)
Conclusion
Document in the client’s chart the incident
Remember to document what you observed
![Page 16: By Evelyn Stone, RN., BSN. M.Ed.. Brain disorder Repeated Convulsions There is an abnormal & sudden change in how the neurons send electrical signals.](https://reader037.fdocuments.us/reader037/viewer/2022103005/56649d195503460f949eed8d/html5/thumbnails/16.jpg)
To contact Instructor:
Evelyn Stone103 Sulley courtKnightdale, NC 27545
Email: [email protected](919) 261-0696 home(919) 268-1012 cell