Pedi Epilepsy Basics
These are the two types of pediatric epilepsy.
What are focal and generalized epilepsies?
During EMU stay, this nursing intervention is critical when a seizure is suspected.
What is activating the event button and documenting clinical signs?
This lab value must be closely monitored during ketogenic diet initiation.
What is blood glucose?
This sterile dressing protocol is essential post-implantation of intracranial electrodes.
What is prn head-wrap dressing change?
This is the first nursing action when a seizure begins in a monitored patient.
What is ensure airway patency and safety?
Febrile seizures typically occur in children under this age.
What is 5 years old?
This safety measure must be in place for pediatric patients during EMU monitoring.
What is continuous video surveillance, padded bed rails, oxygen, suction, EMU card and seizure rescue card?
This symptom may indicate poor tolerance of the ketogenic diet and requires nursing intervention.
What is vomiting or lethargy?
Nurses must monitor for this neurological sign that may indicate increased intracranial pressure.
What is altered level of consciousness, sudden spike in pain, nausea/vomiting and unequal pupils?
These two medications are commonly administered intranasally for seizure rescue in pediatric patients
What is midazolam(nayzilam) and diazepam(valtoco)?
This diagnostic tool is essential for identifying seizure types.
What is EEG?
This nursing protocol is initiated when a seizure lasts longer than 5 minutes or as indicated on order.
What is rescue medication administration?
This type of fluid is typically restricted for patient on ketogenic diet.
What is carbohydrate-containing fluids?
This term describes the mapping of brain function during intracranial EEG.
What is cortical stimulation or functional mapping?
This document outlines individualized emergency care for seizure events.
What is seizure action plan?
A child with epilepsy suddenly stops speaking mid-sentence and stares blankly. This seizure type is suspected.
What is absence seizure?
This is the primary goal of EMU admission.
What is seizure characterization and localization?
Families are educated to avoid this common dietary mistake when preparing keto meals.
What are hidden carbohydrates in medications, condiments, lotions, and toothpaste?
This complication, though rare, can occur due to electrode placement and requires immediate intervention.
What is intracranial hemorrhage?
Unlike epileptic seizures, PNES episodes typically do not require this emergency intervention.
What is administration of rescue anti-seizure medication?
This term describes seizures that do not respond to two appropriate anti-seizure medications.
What is drug-resistant epilepsy?
Nurses must document this during a seizure event.
What is time of onset, duration, and clinical features including assessment of consciousness and how long it took for patient to return to baseline?
This metabolic complication must be ruled out if a child on keto presents with rapid breathing and altered mental status.
What is ketoacidosis?
This term describes the surgical removal of seizure focus.
What is resection or lobectomy?
This water-related activity poses a high risk for individuals with epilepsy and requires direct supervision or safety modifications.
What is bathing or swimming?