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</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</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)</p> Signup and view all the answers

    What does nursing management include during seizures?

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

    Why must suction equipment be available during seizures?

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

    Why is the IV line closely monitored during seizures?

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

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

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

    What can precipitate status epilepticus?

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

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

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

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

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

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

    <p>Ibuprofen</p> Signup and view all the answers

    What is a common factor that can precipitate status epilepticus?

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

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