Anti Seizure Meds
Communication
Seizures
Pregnancy
100

This broad-spectrum antiseizure medication that can have behavioral adverse effects, including aggression, agitation, irritability, and mood changes

What is Keppra (levetiracetam)?

100

This is the team member who submits a safety net report when a skin issue is found related to EEG leads.

Who is the patient's primary nurse?

100
When a patient is seizing and a primary nurse is starting the ictal exam, you focus on room safety. These are the things you look for.

What are: bed in lowest position, bedrails up, bedside table removed from bedside, suction & O2 set up ready.

100

As antiseizure medications are reduced during pregnancy, this % decrease from a patient's therapeutic level is the threshold for increased seizure recurrence risk.

What is 35%

200

PR interval should be monitored by EKG when administering this Sodium channel blocking antiseizure medication, especially if patients have underlying cardiac disease.

Vimpat (Lacosamide)

200

These are the two elements that must be included when photographing EEG lead-related wounds.

What are: ruler and patient identifier (MRN)

200

This part of the ictal exam helps evaluate whether the patient can form and retain a memory during a seizure.

What is the code word?

200

These 2 meds are the commonly used antiseizure medications that decrease in serum concentration during pregnancy.

What are lamotrigine, Keppra, Carbamazepine, Oxcarbazepine, Zonisamide and Lacosamide? 

300

This IV antiseizure medication carries a risk for hypotension and cardiac arrythmias, making cardiac rhythm, blood pressure, and heart rate monitoring critical throughout the infusion and for 15 minutes afterwards.

Fosphenytoin or Cerebyx

300

This is the treatment for scalp irritation due to EEG leads.

What is wash with soap and water and apply Vaseline.

300
These are the two things you should do when a patient with history of convulsive seizures refuses to use commode and bed pan.

Notify MD

Document patient refusal in PennChart

300
This is the infant assessment score that may be lower at birth when the mother has experienced seizures during pregnancy.

What is APGAR score?

400

Patient teaching: to reduce impact of sleepiness and dizziness on daily activities, adjust your schedule to take onisamide (Zonegran), Clobazam (Onfi), or Perampanel (Fycompa) at this time:

When is evening?

400

This is the expected communication so a nurse knows a patient event has correlate.

What is a text from EEG tech to the charge nurse.

400

This is the team member who helps coordinate care for a patient who needs to discharge back to a group home setting.

Who is the Case Manager

400

Though all medications are safe for breastfeeding, this is the ASM that does have a warning.

What is Keppra?

500

This is the serious adverse reaction associated with Cenobamate (Xcopril). Slow titration can help reduce the risk of this.

DRESS
500

This is how the team will know the patient’s plan of care for the day.

What is Carelign or Rounds

500

This member of the care team can assist with assessment and identify alternate discharge options when a patient reports not feeling safe at the institution where they live.

Who is Social Work

500

This is the team you expect to consult on a patient who is admitted to the EMU for seizure medication management in the setting of pregnancy.

Who are OB-GYN and MFM