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Seizure Disorders
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What are some secondary causes of a seizure?
Hyponatremia
Hypoglycemia
ETOH or sedative withdrawal
Hypoxia
A recurring seizure is called?
What is the etiology?
Epilepsy
Trauma
Brain Tumor
Generalized Tonic-Clonic (Grand-Mal) Seizure characteristics
Loss of consciousness
Stiff body
Jerking of extremities
Incontinence
Generalized Absence (Petit Mal) Seizure characteristics
Staring spell
Brief loss of consciousness
Can be caused by hyperventilation or flashing lights
What is a Simple-Partial seizure?
Focal motor shake or twitch without loss of consciousness
What are continuous or rapid recurring seizures?
Status Epilepticus
Status Epilepticus:
Initial drugs?
Followed by?
Lorazepam (Ativan) or
Diazepam (Valium)
Phenytoin (Dilantin) or
Fosphenytoin (Cerebyx) or
Phenobarbital
What anticonvulsants
a
r
e
u
s
e
d
i
n
s
e
i
z
u
r
e
s?
Levetiracetam (Keppra)
Phenytoin (Dilantin)
Carbamazipine (Tegretol)
Divalproex (Depakote)
Levetiracetam (Keppra):
Do not need to monitor?
Simply monitor?
Blood levels
CBC
Phenytoin (Dilantin):
What does it cause?
What to monitor?
Gingival hyperplasia, bone marrow suppression, rash, drug interactions
Blood levels (10-20)
CBC
Carbamazipine (Tegretol):
What does it cause?
What to monitor?
Bone marrow suppression
Blood level (5-12)
CBC
(This drug interacts with many meds)
Divalproex (Depakote):
What does it cause?
What to monitor?
Hepatotoxicity, bone marrow suppression
CBC
LFT
The nurse is caring for an epilepsy patient in the immediate post-ictal period. What is the priority of care?
A) Insert a bite block in the patient's mouth
B) Do a neurological exam
C) Assess the airway
D) Notify the physician
C) Assess the airway
Author
wiscflor
ID
12113
Card Set
Seizure Disorders
Description
SD
Updated
2010-03-27T03:47:40Z
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