Seizure Disorders

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Seizure Disorders
2010-03-26 23:47:40
MS2 Exam 3

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  1. What are some secondary causes of a seizure?
    • Hyponatremia
    • Hypoglycemia
    • ETOH or sedative withdrawal
    • Hypoxia
  2. A recurring seizure is called?
    What is the etiology?

    • Trauma
    • Brain Tumor
  3. Generalized Tonic-Clonic (Grand-Mal) Seizure characteristics
    • Loss of consciousness
    • Stiff body
    • Jerking of extremities
    • Incontinence
  4. Generalized Absence (Petit Mal) Seizure characteristics
    • Staring spell
    • Brief loss of consciousness

    Can be caused by hyperventilation or flashing lights
  5. What is a Simple-Partial seizure?
    Focal motor shake or twitch without loss of consciousness
  6. What are continuous or rapid recurring seizures?
    Status Epilepticus
  7. Status Epilepticus:
    Initial drugs?
    Followed by?
    • Lorazepam (Ativan) or
    • Diazepam (Valium)

    • Phenytoin (Dilantin) or
    • Fosphenytoin (Cerebyx) or
    • Phenobarbital
  8. What anticonvulsants are used in seizure
    • Levetiracetam (Keppra)
    • Phenytoin (Dilantin)
    • Carbamazipine (Tegretol)
    • Divalproex (Depakote)
  9. Levetiracetam (Keppra):
    Do not need to monitor?
    Simply monitor?
    Blood levels

  10. Phenytoin (Dilantin):
    What does it cause?
    What to monitor?
    Gingival hyperplasia, bone marrow suppression, rash, drug interactions

    • Blood levels (10-20)
    • CBC
  11. Carbamazipine (Tegretol):
    What does it cause?
    What to monitor?
    Bone marrow suppression

    • Blood level (5-12)
    • CBC

    (This drug interacts with many meds)
  12. Divalproex (Depakote):
    What does it cause?
    What to monitor?
    Hepatotoxicity, bone marrow suppression

    • CBC
    • LFT
  13. The nurse is caring for an epilepsy patient in the immediate post-ictal period. What is the priority of care?

    A) Insert a bite block in the patient's mouth
    B) Do a neurological exam
    C) Notify the physician
    D) Assess the airway
    D) Assess the airway
    (this multiple choice question has been scrambled)