7/27/2019 najszdk

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Partial Seizures Jacksonian seizure(focal seizures)

characterized by tingling and jerky

movements of index finger and thumb

spreads to shoulders Psychomotor seizure(focal-motor

seizures) characterized by:

Automatism stereotype, non-

repetitive and non-purposive behavior

Clouding of consciousness not in

contact with reality

Mild hallucinating sensory experience

Status Epilepticus

continuousuninterrupted seizure activity that if left

untreated may lead to hyperpyrexia coma

death

Increased electrical activity in brain

increased metabolism increased

glucose and oxygen use, increased

temperature coma death

DOC: Valium, Glucose

generalized Grand Mal (Tonic-Clonic)

With or without an aura

Epigastric pain initial sign of an aura (aura is

an initial sign of seizures)

Visual auditory olfactory tactile sensory

experience

Epileptic cry

Fall

Loss of consciousness for 3-5 minutes

Tonic-clonic contractions

Direct symmetrical extension of extremities

Shaking/convulsive activity

Petit Mal (Absence Seizure)

S/sx:

Blank stare

Decreased blinking of the eyes

Twitching of the mouth and loss of consciousness

for 5-10 seconds

- A disorder ofthe CNS characterized by paroxysmal

seizures with or without loss ofconsciousness, alternation in sensation and

perception, abnormal motor activity andchanges in behavior;

IDIOPATIHIC

MEDICATIONSPhenytoin (Dilantin)

Gingival Hyperplasia

Use soft-bristled toothbrusNystagmus

HirsutismDiazepam (Valium)for statu

epilepticusCarbamazepine (Tegretol)

Also used for Trigeminal ne

(Tic Dolor)Phenobarbitals (Luminal)

For a one year old client suffering grandmal seizures:NOT MouthpieceEh onte langteeth ng one year old ehGive pillowssupport for thehead (For banging of head during seizureactivity)

PREDISPOSING FACTORS1. Head injury secondary to birthtrauma

2. Lead poisoning

3. Genetics

4. Brain tumor

5. Nutritional and metabolic deficiencies

6. Sudden withdrawal of anti-convulsivedrugs

STATUS EPILEPTICUS

7. Physical and emotional stress

1. Maintain patent airway and

promote safety before seizure

activity

2. Avoid precipitating stimulus

3. Administer medications as

ordered

4. Institute seizure and safety

precautions

5. Monitor and document the

following

6. Assist in CORTICAL RESECTION

1. CT-SCANbrain lesion d/t h

trauma

2. EEGhyperactivity of brain w(all elevated)

Alpha, beta, delta, theta wa