Seizures II

NCLEX Questions:

This is documented as: Postictal phase

History of epilepsy who reports having an aura

• MRI or CT - to look for abnormalities.• EEG - electroencephalogram NCLEX TIP Assesses electrical activity in the brain by placing sticky electrodes on the scalp • Wash Hair (before/ after) to make sure it sticks • NO Caffeine (tea, coffee, soda) or stimulants: 12 - 24 hours before • NO Seizure meds • NO Sleep - Sleep deprivation is BEST • YES Eat before test - no need for NPO Memory trick • EEG think of EGG head - electrical activity of the EGGhead • ECG - C think C - Cardiac rhythms

#1 - AirwayTurn client to side NCLEX TIPPrepare for suctioning

Call for help & Stay with Client

Loosen restrictive clothing (Neck & chest)

NEVER insert anything in the mouth!NEVER restrain or “Hold down arms”

#1 Drug = STOP the SeizureLorazepam (brand: Ativan)Diazepam (brand: Valium)

Rectal or IV

Safety

AFTER seizure activity

Protect - Clear area for any objectsPad Side Rails

Record TimeAssess LOC, Neuro, VitalsPrepare for suctioning

Anticonvulsants - Phenytoin: Toxic Over 20 hold med - Levetiracetam: Driving permissions from HCP

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Prodromal Aura Ictal Postictal

MEDICAL emergency!! NCLEX TIP Key points• 5 min. or longer for 1 seizure, or • 30 min. Repeated seizure activity • #1 Priority = STOP the Seizure (after airway and breathing are secure) IV or Rectal benzodiazepine Lorazepam (brand: Ativan) Diazepam (brand: Valium)

#1

1ST

Status Epilepticus

Pharmacology

Diagnostics

Interventions during SZ

Kaplan

Aura: Unusual sensations priorto the seizure

Client with seizure disorder tells the nurse “I smell oranges and there aren’tany on my tray”

What is the best response?“Have you experienced this sensationbefore?”

Kaplan Scenario: