NUR 4445 Neurologic System
1. What are seizures? What is epilepsy and what can cause it (8)?
Answer
- abnormal electrical discharge in the brain
- Epilepsy is a chronic condition.
- Causes
1. CNS insult
2. fever
3. infection
4. cardiac anomalies
5. trauma
6. hypoxia
7. ingestion of toxic substances
8. brain tumor
2. How do you intervene when a child is having a seizure (4)?
Answer
- Nothing in the mouth!
- Possible jaw thrust for patent airway
- Place on side (number one priority is airway so move them to prevent aspiration)
- suction, O2, ventilate prn
3. What do we do if a seizure doesn't spontaneously resolve (2)? What safety measures do we
implement and what do we monitor?
Answer
- cardiac monitor
- IV/ IM meds (benzo, diazepam (valium) or lorazepam (ativan)(available in suppos- itory).
- Safe environment with padded rails on bed/ keep side rails up
, - Periodic drug serum levels to monitor.
4. What safety measures should we teach parents of children with seizures
(6)?
Answer
- Water safety
- helmet
- caution around fires
- fall risk/ precaution
- medical alert bracelet
- education on medication adherence.
5. What is a partial (focal) seizure? What do S/S look like?
Answer
- Abnormal electrical impulse in one area of the brain
- Symptoms depend on where in the brain the activity occurs
6. What is a simple partial seizure? What does it look like?
Answer
- single area of the brain with single muscle movement or sensory alteration.
- No LOC. (fade out then fade in)
7. What is a complex partial seizure? What are the S/S (9)?
Answer
- psychomotor
- LOC occurs
- hallucinations (aura)
- mental distortions
- personality changes
- loss of social inhibition
- involuntary bladder/bowel
- chewing motions
1. What are seizures? What is epilepsy and what can cause it (8)?
Answer
- abnormal electrical discharge in the brain
- Epilepsy is a chronic condition.
- Causes
1. CNS insult
2. fever
3. infection
4. cardiac anomalies
5. trauma
6. hypoxia
7. ingestion of toxic substances
8. brain tumor
2. How do you intervene when a child is having a seizure (4)?
Answer
- Nothing in the mouth!
- Possible jaw thrust for patent airway
- Place on side (number one priority is airway so move them to prevent aspiration)
- suction, O2, ventilate prn
3. What do we do if a seizure doesn't spontaneously resolve (2)? What safety measures do we
implement and what do we monitor?
Answer
- cardiac monitor
- IV/ IM meds (benzo, diazepam (valium) or lorazepam (ativan)(available in suppos- itory).
- Safe environment with padded rails on bed/ keep side rails up
, - Periodic drug serum levels to monitor.
4. What safety measures should we teach parents of children with seizures
(6)?
Answer
- Water safety
- helmet
- caution around fires
- fall risk/ precaution
- medical alert bracelet
- education on medication adherence.
5. What is a partial (focal) seizure? What do S/S look like?
Answer
- Abnormal electrical impulse in one area of the brain
- Symptoms depend on where in the brain the activity occurs
6. What is a simple partial seizure? What does it look like?
Answer
- single area of the brain with single muscle movement or sensory alteration.
- No LOC. (fade out then fade in)
7. What is a complex partial seizure? What are the S/S (9)?
Answer
- psychomotor
- LOC occurs
- hallucinations (aura)
- mental distortions
- personality changes
- loss of social inhibition
- involuntary bladder/bowel
- chewing motions
