17 Questions
What is the characteristic feature of a tonic-clonic (grand mal) seizure?
Rigidity followed by muscle contraction and relaxation
What is the purpose of turning a patient on their side during a seizure?
To prevent aspiration
What is the diagnostic test used to detect abnormal electrical discharges in the brain during a seizure?
EEG (electroencephalography)
Which type of seizure involves symptoms occurring on the opposite side of the brain affected?
Partial seizure
What is the significance of an aura in the context of seizures?
It is a sensation that a seizure is about to occur
What is a characteristic feature of absence (petit mal) seizures?
Staring into space
What is the postictal period following a seizure characterized by?
Disorientation and fatigue
What is the distinguishing feature of complex partial seizures?
Loss of consciousness
What is the first step in therapeutic measures for seizures?
Correct the cause all these are right
Which medication is used for status epilepticus and can cause respiratory depression?
Lorazepam (Ativan) ativan (valium)
What is the purpose of emergency medications in the context of seizures?
To manage seizures lasting longer than 5 minutes
What is the main function of preventative medications for seizures?
Suppress abnormal discharge of neurons
What is the significance of administering diazepam (Valium) or lorazepam (Ativan) in status epilepticus?
To stop continuous seizure activity
What is the purpose of suction in therapeutic measures for seizures?
To ensure airway and oxygenation
What is the role of padded side rails in therapeutic measures for seizures?
To prevent injury during seizures
What is the purpose of resecting the area affected within the brain in therapeutic measures for seizures?
To correct the underlying cause of seizures
Which medication can the patient be on more than one and might cause drowsiness and depression?
Valproic Acid (Depakote) all of these are correct
Study Notes
Characteristics of Seizures
- Tonic-clonic (grand mal) seizure is characterized by loss of consciousness and muscle rigidity.
Patient Care during Seizures
- Turning a patient on their side during a seizure helps to maintain a patent airway and prevent aspiration.
Diagnostic Tests
- Electroencephalogram (EEG) is used to detect abnormal electrical discharges in the brain during a seizure.
Types of Seizures
- Contralateral seizures involve symptoms occurring on the opposite side of the brain affected.
Auras and Seizures
- An aura is a warning sign that a seizure is about to occur, and it can be a sensory, motor, or autonomic symptom.
Absence (Petit Mal) Seizures
- A characteristic feature of absence seizures is a brief period of unconsciousness, often accompanied by rapid blinking or lip movements.
Postictal Period
- The postictal period following a seizure is characterized by confusion, disorientation, and fatigue.
Complex Partial Seizures
- Complex partial seizures are distinguished by altered consciousness and automatisms, such as performing repetitive actions.
Therapeutic Measures
- The first step in therapeutic measures for seizures is to maintain a patent airway and ensure the patient's safety.
Medications for Seizures
- Medications like diazepam (Valium) or lorazepam (Ativan) are used to treat status epilepticus, but may cause respiratory depression.
- Polypharmacy is possible, where the patient may be on more than one medication, which can cause drowsiness and depression.
Emergency Medications
- The purpose of emergency medications is to terminate the seizure activity.
Preventative Medications
- The main function of preventative medications is to reduce the frequency and severity of seizures.
Therapeutic Interventions
- Suctioning is used to remove secretions and maintain a patent airway.
- Padded side rails are used to prevent injury during a seizure.
- Resecting the area affected within the brain is a therapeutic measure for seizures.
Test your knowledge of seizure pathophysiology, classification, and etiology with this quiz. Explore the diagnostic tests and signs of epilepsy, including abnormal electrical discharges in the brain and underlying neurological disorders.
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