NUR 113 Seizure Notes

Seizures Abnormal episodes of motor, sensory, autonomic, and/or
psychic activity resulting from a sudden, abnormal,
uncontrolled electrical discharge from cerebral neurons



4 Classifications:
•Focal: originates in one hemisphere
•Generalized: occur and engage bilaterally
•Unknown: epilepsy spasms
•“Provoked” related to acute, reversible condition




Causes: Plan of Care:
•Observation and documentation of patient
•Cerebrovascular disease signs and symptoms before, during, and
•Hypoxemia after seizure
•Fever (childhood) •Nursing actions during seizure for
•Head injury patient safety and protection
•Hypertension •After seizure care to prevent
complications
•Central nervous system infec
•Metabolic and toxic condition
•Brain tumor
•Drug and alcohol withdrawa
Medications:
•Allergies
•Hydantoins:
- phenytoin
- fosphenytoin sodium (Cerebryx)
Management : •Benzodiazepine:
•Assessment - diazepam (Valium)
•Safety **Emergency!**
•Seizure Precautions •Carboxylic acid:
- valproic acid (Depakene)


Dilantin
Dose - related side effects:
- Visual
- Hirsutism
- Dysrhythmias
- Nystagmus (rapid eye movement)
- Dysarthria (difficult speech)
- Gingival hyperplasia
Toxic:
- Ataxia
- Drowsiness
- Skin Reaction
- Peripheral Neuropathy
- Blood dyscrasia