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LEARNING OBJECTIVES :
Causes :
Idiopathic
Head injury, brain tumor, meningitis
stroke
2 Broad Categories :
1. Generalized seizures
Convulsive
nonconvulsive
2. Partial seizures
Simple
complex
Generalized Convulsive Seizures :
Grand mal/Tonic-clonic
Tonic phase – intense muscular contraction, fall, lose
consciousness and lie rigid
GOALS :
Improve quality of life
Reduce frequency of seizure activity
Minimize adverse effects
ACTIONS
Anticonvulsants increase the seizure threshold
and regulate neuronal firing by inhibiting
excitatory or enhancing inhibitory processes
Seizure description
Postictal behavior
Nursing Diagnoses :
Risk for injury
Disturbed body imag
Impaired Gas Exchange
Disturbed Sensory Perception (visual or tactile)
Readiness for enhanced self health management
Planning :
Seizure activity – seizure precaution; equipment
and supplies be available at bedside; periodic
laboratory studies
Emergency equipment
Implementation :
Management of seizure activity
Do not leave patient
(refractory seizures)
Surgical intervention
implantable vagus nerve stimulator (children 12
y/o and older)
Ketogenic diet (restrict carbohydrates and
protein) – fat is the primary fuel to produce
acidosis and ketosis