Status Epilepticus Quiz
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Questions and Answers

What is the definition of status epilepticus?

  • A seizure lasting 5 minutes or longer or serial seizures occurring without full recovery of consciousness between attacks (correct)
  • A seizure lasting 3 minutes or longer or serial seizures occurring without full recovery of consciousness between attacks
  • A seizure lasting 10 minutes or longer or serial seizures occurring without full recovery of consciousness between attacks
  • A seizure lasting 7 minutes or longer or serial seizures occurring without full recovery of consciousness between attacks

    • What are the cumulative effects of status epilepticus?

  • No cumulative effects
  • Reduced metabolic demand and improved respirations
  • Mild muscular contractions imposing a light metabolic demand and improvement in respirations
  • Vigorous muscular contractions imposing a heavy metabolic demand and interference with respirations (correct)

    • How long must continuous clinical or electrical seizures last to be considered status epilepticus?

  • At least 20 minutes
  • At least 30 minutes (correct)
  • At least 40 minutes
  • At least 10 minutes

    • What is considered a medical emergency?

    <p>Status epilepticus</p> Signup and view all the answers

    What are the goals of treatment for status epilepticus?

    <p>To stop the seizures as quickly as possible, ensure adequate cerebral oxygenation, and maintain the patient in a seizure-free state</p> Signup and view all the answers

    What is the initial medication given to attempt to halt seizures immediately?

    <p>IV diazepam, lorazepam, or fosphenytoin</p> Signup and view all the answers

    What factors can precipitate status epilepticus?

    <p>Interruption of anticonvulsant medication, fever, concurrent infection, or other illness</p> Signup and view all the answers

    What intervention is performed if the patient remains unconscious and unresponsive?

    <p>Insertion of an endotracheal tube</p> Signup and view all the answers

    What may repeated episodes of cerebral anoxia and edema lead to?

    <p>Irreversible and fatal brain damage</p> Signup and view all the answers

    What do vigorous muscular contractions impose during status epilepticus?

    <p>A heavy metabolic demand and interference with respirations</p> Signup and view all the answers

    What should be established in the medical management of status epilepticus?

    <p>An airway and adequate oxygenation</p> Signup and view all the answers

    What is the purpose of obtaining blood samples to monitor serum electrolytes, glucose, and phenytoin levels?

    <p>To determine the effectiveness of anticonvulsant medication</p> Signup and view all the answers

    What does a low serum concentration of anticonvulsant medication suggest?

    <p>The patient is not taking the medication or the dosage is too low</p> Signup and view all the answers

    What is the potential life-threatening complication associated with postictal state?

    <p>Cerebral edema</p> Signup and view all the answers

    Why is ongoing assessment and monitoring of respiratory and cardiac function initiated in patients receiving anticonvulsant medications and sedatives?

    <p>To prevent delayed depression of respiration and blood pressure</p> Signup and view all the answers

    What is the purpose of turning the patient to a side-lying position during a seizure?

    <p>To prevent aspiration of pharyngeal secretions</p> Signup and view all the answers

    Why must suction equipment be available during seizures?

    <p>To prevent aspiration</p> Signup and view all the answers

    What is a significant risk for patients who have received long-term anticonvulsant therapy?

    <p>Fractures resulting from bone disease</p> Signup and view all the answers

    What is the purpose of using seizure precautions for a patient having seizures?

    <p>To protect the patient from injury</p> Signup and view all the answers

    Why should nurses protect themselves when caring for a patient having seizures?

    <p>To protect against inadvertent injury</p> Signup and view all the answers

    What is the potential consequence of an IV line becoming dislodged during seizures?

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

    What is the potential life-threatening complication associated with delayed depression of respiration and blood pressure?

    <p>Cerebral edema</p> Signup and view all the answers

    Why is IV infusion of dextrose given if the seizure is caused by hypoglycemia?

    <p>To correct the low blood glucose level</p> Signup and view all the answers

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