Prodromal Phase
Ictal Phase
Post-Ictal Phase
Medications
List Order of Assessment
100
This idicates the beginning
What is Aura
100
Describe the Ictal phase of an absence seizure.
No movement - unlike tonic/clonic
100
During this phase the brain
"Shuts down" bringing a phase of unconsiousness
100
Benzodiazepines
Benzodiazepines effect GABA - this reduces the activity of nerves in the brain and spinal cord Valium/Ativan are the drugs of choice for SZ activity
100
1
Protect airway
200
The Aura can include
Changes in vision, hearing, smell and emotions
200
The tonic-clonic or grand mal seizure is divided into 2 phases. True or False?
True.
200
Confusion is ___ in this phase
Normal
200
Theraputic Dilatin levels are
5-20 mcg/ml
200
2
Turn patient on side and loosen restrictive clothing
300
Symptoms of the Aura include
Feeling of restlessness, nervousness, tension, anxiety, depression, heaviness, and a general feeling that something is not quite right with the body
300
Significant muscle tension that lasts for 10-20 seconds
Tonic part of seizure
300
This phase can be followed by excessive amounts of ____
Sleep
300
Phenobarbital is
a barbituate. Non selective CNS depressant
300
3
Protect privacy
400
The aura may also be recognized as
a simple partial seizure
400
Muscles begin to relax and turn into a tremor.
Clonic phase
400
The confusion a patient experiences is related to
Hypoperfusion of the brain
400
Common drugs for seizures
Tegretol, Dilatin, Depakote
400
4
Document duration, observations during and after, LOC
500
People with recurrent seizures always have an Aura. True or False
False
500
During this phase what is the most vital?
ABC's, Saftey
500
Assessment post serizure includes:
Maintain side lying position, check VS, assess for injury, perform neuro exam, allow pt to rest, reorient and calm pt, Pad rails and institute/maintain seizure precautions
500
Compliance is a major problem for patients with seizures. True or False
True - most patients do not like the side effects - fatigue, upset stomach, dizziness, vision changes
500
Things NOT to do:
Restrain Put things in the patients mouth