Chaotic movement to one area of the body

1-2 minutes, gait, perform purposeless movement, and/or making unintelligible sounds

Generalized breaks down into what two types

Grand-Mal & Petit-Mal Involves both hemispheres

(Tonic clonic seizure) Tonic: tensed up, contracted muscles Hyptertonic: muscular rigidity with hyperextension of the back Clonic: jerking

a smell taste or sound as a warning for an oncoming seizure

One hemisphere (temporal lobe) Lip smacking, eye blinking, grimacing, finger snapping, phrase repeating, do not recall the seizure

Rapid high fever (common in kids) that causes a seizure

Abnormal blood/electrolyte levels Hyper/hypo glycemia Hypoxia OD Poisoning Alcohol/Drug withdrawl

Post seizure, muscles begin to relax, confused

2+ seizures back-to-back without relief Treatment: Open airway, 02, IV/IO, benzo

Adult & Pediatric: 0.1 mg/kg in 2 mg increments slow IV/IO (max of 5 mg)

Adult: 2.5 10 mg in 2.5 mg increments slow IV/IO Pediatric: 0.1 mg/kg in 2.5 mg increments slow IV/IO/IM (max of 5 mg)

What three things make up the CPSS

arm drift, facial droop, speech

give within 3 hrs for an ischemic seizure

clot travels and gets stuck blocking blood flow to the brain

clot forms somewhere blocking blood flow to the brain

2-4 mg (may repeat to a max dose of 8 mg) Pedi: 0.05-0.1mg/kg over 2-5min (max 4mg)

Alcohol Epilepsy, Endocrine, Electrolytes Insulin Opiates Oxygen Uremia

Trauma, Temp Infection Psychiatric, Poisoning Shock, Stroke, Seizure, Syncope, Subarachnoid Hemorrhage

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Strokes and Seizures

Seizures

Question	Answer
Define the different types of seizures	Generalized & Partial
Partial breaks down into what two types	Simple & Complex
Simple	Chaotic movement to one area of the body
Complex	1-2 minutes, gait, perform purposeless movement, and/or making unintelligible sounds
Generalized breaks down into what two types	Grand-Mal & Petit-Mal Involves both hemispheres
Grand-Mal	(Tonic clonic seizure) Tonic: tensed up, contracted muscles Hyptertonic: muscular rigidity with hyperextension of the back Clonic: jerking
Petit-Mal	Absent
Aura	a smell taste or sound as a warning for an oncoming seizure
Focal Seizure	One hemisphere (temporal lobe) Lip smacking, eye blinking, grimacing, finger snapping, phrase repeating, do not recall the seizure
Febrile Seizure	Rapid high fever (common in kids) that causes a seizure
Metabolic Seizure	Abnormal blood/electrolyte levels Hyper/hypo glycemia Hypoxia OD Poisoning Alcohol/Drug withdrawl
Structural Seizure	idiopathic
Postictal State	Post seizure, muscles begin to relax, confused
Status Epilepticus	2+ seizures back-to-back without relief Treatment: Open airway, 02, IV/IO, benzo
Midazolam (Versed)	Adult & Pediatric: 0.1 mg/kg in 2 mg increments slow IV/IO (max of 5 mg)
Diazepam (Valium)	Adult: 2.5 10 mg in 2.5 mg increments slow IV/IO Pediatric: 0.1 mg/kg in 2.5 mg increments slow IV/IO/IM (max of 5 mg)
What are the two different types of strokes	Hemorrhagic 15% & Ischemic 87%
What three things make up the CPSS	arm drift, facial droop, speech
tPA	give within 3 hrs for an ischemic seizure
Ischemic stroke breaks down into what two types of strokes?	Embolic and Thrombotic
Embolic Stroke	clot travels and gets stuck blocking blood flow to the brain
Thrombotic Stroke	clot forms somewhere blocking blood flow to the brain
Hemorrhagic Stroke	brain bleed / aneurysm
Lorazepam	2-4 mg (may repeat to a max dose of 8 mg) Pedi: 0.05-0.1mg/kg over 2-5min (max 4mg)
AEIOU	Alcohol Epilepsy, Endocrine, Electrolytes Insulin Opiates Oxygen Uremia
TIPS	Trauma, Temp Infection Psychiatric, Poisoning Shock, Stroke, Seizure, Syncope, Subarachnoid Hemorrhage

Created by: alexisbarrientes

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