Status Epilepticus Quiz

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Questions and Answers

What blood samples are obtained to monitor during seizure management?

  • Red blood cells, white blood cells, and platelets
  • Lipid profile, liver function tests, and thyroid function tests
  • Hemoglobin, hematocrit, and coagulation profile
  • Serum electrolytes, glucose, and phenytoin levels (correct)

What may be useful in determining the nature of the seizure activity?

  • X-ray imaging
  • Ultrasound imaging
  • MRI imaging
  • EEG monitoring (correct)

What is given if the seizure is caused by hypoglycemia?

  • IV infusion of potassium
  • IV infusion of insulin
  • IV infusion of dextrose (correct)
  • IV infusion of saline

What may be used if initial treatment for seizures is unsuccessful?

<p>General anesthesia with a short-acting barbiturate (A)</p> Signup and view all the answers

Why is the serum concentration of the anticonvulsant medication measured?

<p>To determine if the patient was not taking the medication or if the dosage was too low (B)</p> Signup and view all the answers

What is the significant risk for fractures resulting from long-term anticonvulsant therapy?

<p>Bone disease (osteoporosis, osteomalacia, and hyperparathyroidism) (B)</p> Signup and view all the answers

What does nursing management include during seizures?

<p>Ongoing assessment and monitoring of respiratory and cardiac function (B)</p> Signup and view all the answers

Why is the patient turned to a side-lying position during seizures?

<p>To assist in draining pharyngeal secretions (D)</p> Signup and view all the answers

Why must suction equipment be available during seizures?

<p>Due to the risk of aspiration (D)</p> Signup and view all the answers

Why is the IV line closely monitored during seizures?

<p>It may become dislodged during seizures (C)</p> Signup and view all the answers

What is the potential side effect of long-term anticonvulsant therapy leading to the need for seizure precautions?

<p>Bone disease (C)</p> Signup and view all the answers

Why should nurses protect themselves during seizure management?

<p>The patient having seizures can inadvertently injure nearby people (B)</p> Signup and view all the answers

What is the minimum duration of a seizure for it to be classified as status epilepticus?

<p>5 minutes (C)</p> Signup and view all the answers

What additional criteria can classify a seizure as status epilepticus?

<p>Serial seizures without full recovery of consciousness between attacks (A)</p> Signup and view all the answers

What is a broadened definition of status epilepticus in terms of EEG activity?

<p>30 minutes of continuous clinical or electrical seizures (A)</p> Signup and view all the answers

Why is status epilepticus considered a medical emergency?

<p>It may lead to irreversible and fatal brain damage (C)</p> Signup and view all the answers

What is a direct consequence of vigorous muscular contractions during status epilepticus?

<p>Interference with respirations (A)</p> Signup and view all the answers

What can precipitate status epilepticus?

<p>Interruption of anticonvulsant medication (A)</p> Signup and view all the answers

What is a primary goal of medical management in status epilepticus?

<p>To ensure adequate cerebral oxygenation (A)</p> Signup and view all the answers

What is the immediate action taken if a patient remains unconscious during status epilepticus?

<p>Inserting an endotracheal tube (D)</p> Signup and view all the answers

Which medication is given slowly to immediately halt seizures in status epilepticus?

<p>IV diazepam (D)</p> Signup and view all the answers

Which medication is NOT typically used to maintain a seizure-free state in status epilepticus?

<p>Ibuprofen (A)</p> Signup and view all the answers

What is a common factor that can precipitate status epilepticus?

<p>Concurrent infection (C)</p> Signup and view all the answers

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