Pediatric Nursing Test 4

Partial or Focal seizures occur in only one part of the brain, with no loss of consciousness Simple Partial with motor signs type Aversive and Rolandic 00:03 01:24 Aversive eyes and head turn away from side of the focus, may or may not lose consciousness Rolandic tonic/clonic mvms, involves the face, most often happens in sleep Simple Partial with sensory signs tingling/numbness/pain in one area that spreads to other areas, plus visual sensations Complex Partial Altered behavior and inability to respond, impaired consciousness, confusion, complex sensory aura (can tell when you are about to have a seizure) Types of Partial of focal seizures Simple partial with motor signs Simple partial with sensory signs Complex partial Generalized Seizures the entire brain is involved Tonic/Clonic seizure (grand mal) No warning, tonic phase (rigid phase, 10-20 secs), the clonic (time varies, this is the violent jerking), Post-icktle state Absence seizures/staring seizures Brief loss of awareness; used to be called petit mal seizures, lasts about 10 seconds, resembles day dream, they do not remember Onset is usually around 4-12 y/o, will stop after puberty Atonic Seizures Sudden loss of muscle tone and possible loss of consciousness, also called "drop attacks" Do not have post-icktle state Myoclonic seizures sudden brief jerks of muscle groups with possible loss of consciousness (A lot of times will result in a fall, and confusion Atonic or akinetic loss of muscle tone Types of Generalized seizures Tonic/clonic Absence Atonic Myoclonic Medications for Seizures diazepam phenytoin carbamazepine valproic acid fosphenytoin sodium Meningitis levels for bacterial high protein, low glucose Meningitis levels for viral protein and glucose normal and negative gram stain Types of Cerebral Palsy Dyskenetic Ataxic Spastic Dyskenetic CP types Athetoid Dystonic Athtoid finding include involuntary jerking moms that appear slow, writhing, and wormlike. These mvms include the trunk, neck, face, and tongue Dystonic Slow twisting moms affect the trunk and extremities with abnormal posturing from muscle contractions Ataxic Evidence of a wide based gait and difficulty with coordination poor ability to do repetitive mvms Difficulty with quick or precise moms (writing or buttoning a shirt) Shakiness Low muscle tone Spastic Hypertonicity (muscle tightness or spasticity) increased deep tendon reflexes clonus poor control of motion, balance, and posture impairments of fine and gross motor skills often causes limbs to be shorter of thinner Gait may appeared crouch with a scissoring motion of the legs (tiptoe)