Nur 103 test 3
Card Set Information
Nur 103 test 3
neuropathy epilepsy shingles migraines
What are seizures?
brief disturbance in the brain's electrical activity
causing temporary changes in:
What is epilepsy?
a general term for a variety of neurological conditions causes recurrent seizures
absence (petite mal)
clonic tonic(grand mal)
What are partial seizures?
activation of only a restricted part of one cerebral hemisphere
What are generalized seizures?
they affect the entire brain.
What are simple partial seizures?
memory, awareness, consciousness retained/preserved manifestations depend on involved area of brain
What are some manifestations of simple partial seizures?
: Unusual sensations affecting either:
can have hallucinations
Autonomic Nervous System
Memory or emotional disturbances
feelings of déjà vu
What are complex partial seizures?
consciousness is impaired
Most common type of seizure in older adults
Loses consciousness with environment
Amnesia common after seizure
Several hours may elapse before pt regains full consciousness
What are automatisms?
non-purposeful movements such as:
other repetitive, involuntary but coordinated movements
What usually are the phases of a tonic clonic generalized seizure?
Describe the tonic phase of a genralized seizure.
Patient loses consciousness and usually collapses. stiffening of the body
Describe the tonic phase of a generalized seizure.
Describe the postical phase of a generalized seizure.
What are some things to be aware of during and after a generalized seizure?
Unconscious and unresponsive to stimuli initially
Describe an absence general seizure.
5-10 seconds, maybe more
few seconds loss of consciousness
few if any, other symptoms
typically interrupts an activity and stares blankly.
begin and end abruptly
may occur several to 100 times a day.
Patients are usually not aware that they are having a seizure
but may be aware of losing time.
What are some safety precautions for a tonic clonic seizure?
the duration of the seizure
lower the person to the
to prevent injury
Clear the area of any
or dangerous objects
the person on one side to keep the airway open
object under the person’s head or cradle the head with your hand
any restrictive clothing
cover the person with a
to maintain dignity
What to do after a clonic tonic seizure.
help to reorient
allow the person to rest somewhere comfortable
What should one NOT do during a clonic tonic seizure?
Place anything in the mouth
touch or hold the tongue
Restrain the person
Administer liquids or foods until the person is fully conscious
Attempt to give oral medications
When to call 911:
The seizure lasts more than 5 minutes =
seizures or short periods of calm between seizures
Repeated seizures have
, leading to muscle contractions, leading to resp complicaitons and exhaustion.
Maintain airway – priority.
This is the person’s
or if you don’t know whether the person has had a seizure before
The seizure takes place in
The person is
during the seizure
the person has
diabetes or is pregnant
or complexion does not return after the seizure has stopped
What are some meds used to treat seizures?
Dextrose for hypoglycemia
What are some precepitating factors of seizures?
Keep a journal of events to determine precipitating factors
What causes shingles?
Herpes Zoster virus enters body during a chicken pox infection, it remains dormant until it has an opportunity to florish
Is shingles contagious?
You can't catch shingles from someone else.
But there is a small chance that a person with a shingles rash can spread the virus to another person who hasn't had chickenpox and who hasn't gotten the chickenpox vaccine.
What are the s/s of shingles?
headache, sensitivity to light, and flu-like symptoms without a fever.
itching, tingling, or pain where a band, strip, or small area of rash may appear
rash is only on
of the body
blisters, then scab over,
pain more than itch
How is shingles treated?
acyclovir, famciclovir, or valacyclovir
Over-the-counter pain medicines:
acetaminophen, aspirin, or ibuprofen
How is postherpetic neuralgia (PHN), treated?
tricyclic antidepressant (for example, amitriptyline).
benzocaine, Lidocaine patches, (Lidoderm)
What is a migraine?
a recurring primary headache, often initiated by a triggering event and usually accompanied by a neurologic dysfunction.
What are some migraine triggers?
Rapid changes in blood glucose levels
stimuli such as bright lights
food high in tyramine or other vasoactive substances ( e. g., aged cheese, nuts, chocolate, and alcoholic beverages)
Describe a migraine.
(can become bilateral later)
moving can intensify pain
Chills, nausea and vomiting, fatigue, and sensitivity to light, sound, or odor are often present.
stiffness or tenderness of the neck.
lasts 4 to 72 hours and then gradually subsides.
What happens after a migraine headache?
the headache area is sensitive to touch,
deep aching is present.
The patient is exhausted.
What are some meds used to abort a migraine?
Naratriptan (Amerge, Naramig)
Sumatriptan (Alsuma, Dosepro, Imitrex, Sumavel, Treximet)
What are some meds used to prevent migraines?
high blood pressure meds:
beta-blockers (propranolol (Inderal), timolol)
calcium channel blockers (verapamil (Covera)
valproic acid (Depakote)