Seizure System Disorder PDF

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ACTIVE LEARNING TEMPLATE:

System Disorder

Espinosa ST UDENT NAME Catherine _____________________________________ Seizure DISORDER/DISEASE PROCESS __________________________________________________________

Alterations in Health (Diagnosis)

Pathophysiology Related to Client Problem

Impaired breathing Difficulty coping Risk for fall related injury

Transient, uncontrolled electrical discharge of neurons in the brain that interrupts normal function.

58 REVIEW MODULE CHAPTER ___________

Health Promotion and Disease Prevention Prevent seizures with antiseizure drugs Maintain proper diet, get adequate rest, exercise

ASSESSMENT

Risk Factors Genetic abnormalities Injury to the brain from trauma, a stroke Previous infection Sleep deprivation

Laboratory Tests CBC Urinalysis Electrolytes Creatinine Fasting Blood Glucose

SAFETY CONSIDERATIONS

Expected Findings Temporary confusion A staring spell Uncontrollable jerking movements of the arms and legs Loss of consciousness or awareness Cognitive or emotional symptoms, such as fear, anxiety or deja vu

Diagnostic Procedures CT MRI MRA MRS PET scan EEG

PATIENT-CENTERED CARE

Nursing Care -Assess and record details of seizure event, events preceeding seizure, length of each phase of seizure, LOC, and VS -Assess airway patency -Give IV antiseizure medication to a patient with SE, give oral sntiseizure medications as scheduled -Place suction equipment, bag-valve mask, and O2 at patient's bedside

Therapeutic Procedures Drug Therapy Surgery Vagal nerve stimulation Psychosocial counseling Physical therapy

ACTIVE LEARNING TEMPLATES

Many antiseizure drugs have side effects that overlap with depressive symptoms Age related changes in liver enzymes decrease liver's ability to metabolize drugs. Because the liver metabolizes phenytoin, it should not be used in older patients with liver problems.

Complications Medications Antiseizure drugs i.e. carbamazepine, clonazepam, gabapentin, phenytoin

Client Education Follow general safety measures (e.g. wearing helmets in situations involving risk for head injury) Avoid excess alcohol use, fatigue, and loss of sleep Teach patient how to handle stress constructively

Interprofessional Care Physical Therapist Neurologist

Status epilepticus: continuous seizure activity or a condition in which seizures recur in rapid succession without return to consciousness between seizures. During repeated seizures, the brain uses more energy than can be supplied. As neurons become exhausted and cease to function, permanent BRAIN DAMAGE can result....