By Evelyn Stone, RN., BSN. M.Ed.. Brain disorder Repeated Convulsions There is an abnormal &...

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By Evelyn Stone, RN., BSN. M.Ed.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

To contact Instructor:

Evelyn Stone103 Sulley courtKnightdale, NC 27545

Email: [email protected](919) 261-0696 home(919) 268-1012 cell