Seizures
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
|
|
||||
|---|---|---|---|---|---|
| What are some of the causes for seizures? | Tumor, acidosis, hypogycemia, hypoxia, extracranial disorders, alcohol and or barbituate withdrawls
🗑
|
||||
| How many seizures does a pt have to have to be an epileptic? | 2 or more
🗑
|
||||
| At what point is epilepsy high? | First year of life and elderly years
🗑
|
||||
| When do epileptic seizures decline and plateau? | childhood and adolescence and adulthood
🗑
|
||||
| Who are more at risk for seizures? | Males, African Americans
🗑
|
||||
| When the whole brain is involved, what type of seizure is it? | A generalized seizure
🗑
|
||||
| What are Astrocytes? | New meds focusing on decreasing glutamate
🗑
|
||||
| What order do the phases of a seizure occur?> | prodromal phase, aura phase, Ictal phase, Postictal phase
🗑
|
||||
| When adults come in w a seizure, how are they treated? | As if they have a tumor
🗑
|
||||
| What is the cardio drug used for seizures? | Lidocaine
🗑
|
||||
| what is gliosis? | scar tissue
🗑
|
||||
| What phase is missing in a generalized seizure? | phase 2, aural phase
🗑
|
||||
| What does tonic/clonic mean? | Stiffening and jerking of body
🗑
|
||||
| What is a tonic clonic seizure aka? | grand mal (generalized)
🗑
|
||||
| What happens during a grand mal seizure? | fall down, tonic-clonic, cyanosis, eyes blinking, drooling, LOC, loss of bladder and bowel control
🗑
|
||||
| What type of seizures are common in children? | absence seizure (petite mal) generalized
🗑
|
||||
| What are the characteristics of a petite mal? | eyes flutter upward for 3-20 seconds, vacant stare and lack of response
🗑
|
||||
| If a child has a absence, petite mal seizure, will they always have them? | May disappear at puberty or develop into another type of seizure
🗑
|
||||
| Which seizures are brought on by strobe lights? | Atypical Absence seizures
🗑
|
||||
| Which type of seizure is characterized by sudden very brief jerk of the body? | Myoclonic
🗑
|
||||
| Which type of seizure is characterized by falling, loss of muscle tone, LOC with regain of consciousness by the time they hit the floor? | Akinetic AKA atonic AKA astatic seizure
🗑
|
||||
| What is the primary difference between generalized and partial seizures? | generalized= whole brain is involved, partial= specific region of cortex, however, may spread and end up involving entire brain
🗑
|
||||
| How do simple and complex partial seizures differ? | simple=no LOC, complex=LOC
🗑
|
||||
| What are the different types of simple partial seizures? | Motor – convulsion in the upper extremity
Somatosensory – numbness & tingling in the affected area Automatic – epigastric sensations, pallor, sweating, flushing, tachycardia
Psychic – aura, subjective sensation
Auditory-ringing or hiss, visual-flashes
🗑
|
||||
| What are automatisms? | lip-smacking, picking, patting, chewing, picking
🗑
|
||||
| What type of seizure have automatisms? | complex petite mal
🗑
|
||||
| How is status epilepticus classified? | persists >30 mins or repeatedly without return to consciousness between seizures
🗑
|
||||
| Which takes more energy? A persistent seizure or repeated without regaining consciousness? | repeated without regaining consciousness
🗑
|
||||
| What are possible complications from seizures? | insufficient ventliation, hypoxemia, brain damage, hyperthermia, cardiac arrythmias, systemic acidosis, injury
🗑
|
||||
| Psychologically, how can a seizure disorder affect a patient? | social stigma
🗑
|
||||
| When looking for a seizure, what are some other disorders that are ruled out? | metabolic disorders, brain lesions
🗑
|
||||
| What is the acronym for seizure management? | "CAN DO" C-be calm, A-void injury, N-note the time the seizure starts, D-dont try to restrain them or put anything in their mouth, O-do not obstruct the airway (May need O2 and suction after)
🗑
|
||||
| Which meds are use tonic-clonic, generalized seizures and partial seizures? | Dilantin, Tegretol, phenobarbitual, Depakote
🗑
|
||||
| Which meds are used for absence/akinetic & myoclonic | Zarotonin, Depakote, Klonopin
🗑
|
||||
| What are the second generation drugs for seizures? | Neurontin, Topamax, and Lyrica as an add on drug
🗑
|
||||
| What are some of the neurological SE from anti-seizure meds? | decreased LOC, ataxia, diplopia, slow cognitive function and alertness
🗑
|
||||
| What are some of the Idiosyncratic effects outside the CNS | skin rash, gingival hyperplasia, blood dyscrasias, liver, & kidney problems, decreased labidio, ED
🗑
|
||||
| At what point may a seizure med may be discontinued? | May consider discontinuing medications if the person is seizure-free for 2 years (no epilepsy waves on EEG)
🗑
|
||||
| When are surgical options considered? | When drug therapy doesn't work
🗑
|
||||
| What are the surgical options? | removal of the epileptic focus, multiple sub-pial transection (a series of cuts to isolate sections), separate 2 hemispheres to prevent spread of actvity
🗑
|
||||
| What type of implant may be permanently inserted? | Vagal nerve simulator that delivers intermittent electrical stimulation to the brain to reduce frequency and intensity of seizures (desynchronize)
🗑
|
||||
| What are some alternative therapies? | Biofeedback using EEG and relaxation
Alternative therapy
Ketogenic diet
🗑
|
||||
| What are patient teaching priorities? | Do not operate a motor vehicle or dangerous machinery (even kitchen knife), Take meds,
Use a microwave for cooking, non-contact sports with supervision, Swim with the presence of lifeguard; shower instead of taking a bath, Medical alert bracelet
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
brebre273
Popular Nursing sets