hh-medications
This common sz med can actually INCREASE sz activity for some, and cause anger and irritation.
What is Keppra?
The patient retains consciousness throughout the seizure. For example, they can continue talking while their left arm has seizure activity
. focal aware seizures
The placement of __________on the scalp determines the electric activity that is measured
Electrodes
Newborn babies less than four weeks are termed?
-Neonates
These buttons are held together to turn off bed alarm on the bed
Ibed & Alarm/disarm
How many main types of strokes are there
What is 3
This medication prescribed for mood disorder and off label smoking cessation, can lower sz threshold and actually cause sz.
What is Welbutrin?
Cause the patient to lose consciousness, and thus they do not recall the seizure afterward
focal impaired aware / unaware
The measured _________is the difference between the reference electrode and the active electrode
Voltage
When a baby’s head is small full 10-20 Montage puts the electrodes too close and risk forming a?
Salt bridge
Always use this in place of pt’s pillow
Neck roll
What type of stroke results in a brain bleed?
What is hemorrhagic
This medication used for anxiety and urgent sz cessation.
What is Ativan?
Seizures that are clinically marked by tonic muscle stiffening and are mostly generalized, they do not evolve into clonic activity
Tonic seizures "grand mal"
EEG signals are usually measured in _______
Microvolts
After the first month of life, a baby is no longer a neonate, and becomes an?
infant
Where should you dispose of pt’s info sticky note
Confidential bin
What type of stroke is a result of a blockage or impairs blood flow to the brain?
What is ischemic
This medication is used in pre-op for anxiety and also used as IV drip for sz control.
What is Versed?
A brief, involuntary jerk. It is normal and commonly seen in individuals falling asleep
Myoclonic seizure
A commonly used electrode placement system
The international 10-20system
Time frame between mother’s last menstruation and length of pregnancy
Gestational age
This color wipe is used for cleaning machines
What type of stroke is considered to be a mini-stroke or warning of future stroke. The symptoms can mimic those of a full stroke.
What is a transient ischemic attack (TIA
This medication is used most commonly in neonates for sz control.
What is Phenobarb?
Defined clinically by abrupt and brief cessation of awareness and activity, often with eye fluttering or blinking, with rapid return to normal after the seizure ends
Absence seizure
A typical EEG signal ranges from +/- ________ microvolts
100-150
The amount of time that has elapsed from birth to a given date.
Chronological age
Code to open linen closet
Which lobe of the brain would be affected if a stroke caused vision loss of one or both eyes?
What is occipital lobe
This medication is commonly used for inpatients to treat infections and can cause subclinical status epilepticus.
What is Cefipime?
A _______ is an abnormal, organized and evolving burst of cortical activity that interrupts the brain's usual function.
Seizure
This propagating electric activity is known as the __________ and is picked up by the EEG electrodes
Secondary current
Neonates have three stages of consciousness
awake, active sleep and quiet sleep
Curtain closed in the door means
Which lobe of the brain would be affected if a stroke caused a loss of sensation or difficulty with analytical thinking?
What is parietal lobe
This medication is used for sedation and can also help control sz. Can cause burst supression on EEG.
What is Propofol?
For rhythmic or periodic patterns, they must exceed __ seconds to be considered a seizure
10
Neural activity is sometimes referred to as__________
Equivalent current dipole
Neonatal seizures must evolve just like adult seizures do, but and are usually focal rather than?
Generalized
Always check pt’s _____ before anything
Wristband, Name, DOB
Which lobe of the brain primarily is responsible for communication—which can then be affected by a stroke in that lobe?
What is temporal lobe
This medication can decrease the amplitude of the EEG and is commonly given to family to stop a sz at home.
What is Valium?
Typical absence seizures arise with _ Hz generalized spike and wave activity
3
When was the 10-20 system established
1958
Neonatal seizures are particularly important to see on EEG because
Many neonatal seizures are clinically silent.
If bed alarm is turned off you must ______ before leaving
Turn it back on
A temporal lobe stroke can produce communication problems for a patient. A patient who has a speech difficulty due to stroke is diagnosed with?
What is aphasia
These types of medications can increase frntocentral beta and decreae anterior alpha amplitude. Used for depression and anxiety.
What are SSRIs? (Prozac/Zoloft)
A _____ is a single epileptiform discharge defined by its duration lasting between 70-200ms
Sharp
The four landmarks that the 10-20 system is based on
Nasion, inion, and 2 preauricular points
Babies should be nearly fully synchronous and reactive by how many weeks:
32
Make sure ____ is within pt’s reach
Call light
What are the 2 types of aphasia?
What is Receptive and Expressive
This can cause withdrawl sz's and poorly synchronized EEGs with reduced alpha and increased fast wave.
What is alcohol?
A _____ is very similar to a sharp but faster, with a duration from 20-70ms.
Spike
Allowable margin of error in measuring
Less than 1 cm
Awake and active sleep look similar, with mostly what wave frequencies
Theta and Delta
Nurse calls and asks if eeg leads can go to CT and you say _____
Yes
Names some types/categories of medications used for stroke patients
What are blood thinners (anticoagulants & antiplatelets), tPA (dissolves clots), blood pressure meds, cholesterol meds