Status Epilepticus Quiz

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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?

General anesthesia with a short-acting barbiturate Signup and view all the answers

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 Signup and view all the answers

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

Bone disease (osteoporosis, osteomalacia, and hyperparathyroidism) Signup and view all the answers

What does nursing management include during seizures?

Ongoing assessment and monitoring of respiratory and cardiac function Signup and view all the answers

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

To assist in draining pharyngeal secretions Signup and view all the answers

Why must suction equipment be available during seizures?

Due to the risk of aspiration Signup and view all the answers

Why is the IV line closely monitored during seizures?

It may become dislodged during seizures Signup and view all the answers

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

Bone disease Signup and view all the answers

Why should nurses protect themselves during seizure management?

The patient having seizures can inadvertently injure nearby people Signup and view all the answers

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

5 minutes Signup and view all the answers

What additional criteria can classify a seizure as status epilepticus?

Serial seizures without full recovery of consciousness between attacks Signup and view all the answers

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

30 minutes of continuous clinical or electrical seizures Signup and view all the answers

Why is status epilepticus considered a medical emergency?

It may lead to irreversible and fatal brain damage Signup and view all the answers

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

Interference with respirations Signup and view all the answers

What can precipitate status epilepticus?

Interruption of anticonvulsant medication Signup and view all the answers

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

To ensure adequate cerebral oxygenation Signup and view all the answers

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

Inserting an endotracheal tube Signup and view all the answers

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

IV diazepam Signup and view all the answers

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

Ibuprofen Signup and view all the answers

What is a common factor that can precipitate status epilepticus?

Concurrent infection Signup and view all the answers