NUR 234 Exam 2 Questions And Accurate
Answers 2024-2025
Seizure
A sudden increase in electrical activity in the brain that alters a person's feelings or
actions for a short period of time
Status epilepticus
A condition in which seizures occur one after another with less than a minute or two
between each seizure, or continuous seizure activity that persists for more than 30
minutes. Brain damage may result.
Tonic-Clonic seizure
Also know as Grand Mal. Generalized seizure, total LOC and falling to ground, followed
by stiffening and jerking,
Petit Mal Seizure
Common for kids. Milder form of seizure lasting only a few seconds and does not include
convulsive movements; also known as absence seizures. Resembles daydreaming,
blank stare with blinking, chewing, hand gestures.
Seizure Interventions
1) Maintain Patient Airway
2) Protect the Head
3) Turn the patient to the side
4) loosen restrictive clothing
5) ease patient to floor
6) Observe and record all aspects of the seizure
Seizure precautions
1) Side Rails Up
2) Side Lying
, 3) Bed in lowest position
4) Oxygen and Suction Set up in room
Seizure Diagnostic Tests
EEG: abnormal electrical conduction of brain waves identified
CBC
CT
MRI
PET scan
MIRA
Seizure medications (How they work)
some work by blocking calcium channels in axons so nerve cells cannot release
neurotransmitters and won't be able to keep firing nerve impulses
Seizure medications (common)
Benzodiazepine such as Lorazepam (Ativan) and Diazepam
Seizure medications (other)
Leviteracetam (Kepra)
Phenytoin (Dilantin)
Lacosamide
Valproic Acid
Topiramate
Seizure Education
Do NOT stop medications abruptly
Routine blood draw
Relaxation Therapy
Med Alert Bracelet
Avoid excessive ETOH, fatigue, loss of sleep, swimming alone
Avoid hypoglycemia
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