23 Questions
What blood samples are obtained to monitor during seizure management?
Serum electrolytes, glucose, and phenytoin levels
What may be useful in determining the nature of the seizure activity?
EEG monitoring
What is given if the seizure is caused by hypoglycemia?
IV infusion of dextrose
What may be used if initial treatment for seizures is unsuccessful?
General anesthesia with a short-acting barbiturate
Why is the serum concentration of the anticonvulsant medication measured?
To determine if the patient was not taking the medication or if the dosage was too low
What is the significant risk for fractures resulting from long-term anticonvulsant therapy?
Bone disease (osteoporosis, osteomalacia, and hyperparathyroidism)
What does nursing management include during seizures?
Ongoing assessment and monitoring of respiratory and cardiac function
Why is the patient turned to a side-lying position during seizures?
To assist in draining pharyngeal secretions
Why must suction equipment be available during seizures?
Due to the risk of aspiration
Why is the IV line closely monitored during seizures?
It may become dislodged during seizures
What is the potential side effect of long-term anticonvulsant therapy leading to the need for seizure precautions?
Bone disease
Why should nurses protect themselves during seizure management?
The patient having seizures can inadvertently injure nearby people
What is the minimum duration of a seizure for it to be classified as status epilepticus?
5 minutes
What additional criteria can classify a seizure as status epilepticus?
Serial seizures without full recovery of consciousness between attacks
What is a broadened definition of status epilepticus in terms of EEG activity?
30 minutes of continuous clinical or electrical seizures
Why is status epilepticus considered a medical emergency?
It may lead to irreversible and fatal brain damage
What is a direct consequence of vigorous muscular contractions during status epilepticus?
Interference with respirations
What can precipitate status epilepticus?
Interruption of anticonvulsant medication
What is a primary goal of medical management in status epilepticus?
To ensure adequate cerebral oxygenation
What is the immediate action taken if a patient remains unconscious during status epilepticus?
Inserting an endotracheal tube
Which medication is given slowly to immediately halt seizures in status epilepticus?
IV diazepam
Which medication is NOT typically used to maintain a seizure-free state in status epilepticus?
Ibuprofen
What is a common factor that can precipitate status epilepticus?
Concurrent infection
Test your knowledge of status epilepticus with this quiz. Challenge yourself with questions about the definition, duration, and clinical manifestations of this acute prolonged seizure activity.
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