Colds, strep throat, flu
Infection, injury, lack of sleep
Fever, trauma, infections, unknown
Allergies, ear infections, enuresis
All of the above
Jerking movements over entire body
Loss of awareness
Arm or leg jerking
All of the above
Clear area around child
Restrain jerking movements to prevent injury
Observe and document activity call 911 if seizure activity lasts longer than 5 minutes
"Do not worry. Epilepsy can be treated with medications."
"The seizure may or may not mean your child has epilepsy."
"Since this was the first convulsion, it may not happen again."
"Long term treatment will prevent future seizures."
Document the seizure.
Perform neurologic checks.
Take the patient’s vital signs.
Restrain the patient for protection.
Complete admission assessment.
Set up oxygen and suction equipment.
Place a padded tongue blade at bedside.
Pad the side rails before patient arrives.
“You should avoid consumption of all forms of alcohol.”
“Wear you medical alert bracelet at all times.”
“Protect your loved one’s airway during a seizure.”
“It’s OK to take over-the-counter medications.”
Document the onset time, nature of seizure activity, and postictal behaviors for all seizures.
Administer phenytoin (Dilantin) 200 mg PO daily.
Teach patient about the need for good oral hygiene.
Develop a discharge plan, including physician visits and referral to the Epilepsy Foundation.
Place the patient on a non-rebreather mask will the oxygen at 15 L/minute.
Administer lorazepam (Ativan) 1 mg IV.
Turn the patient to the side and protect airway.
Assess level of consciousness during and immediately after the seizure.
The gums appear enlarged and inflamed.
The white blood cell count is 2300/mm3.
Patient occasionally forgets to take the phenytoin until after lunch.
Patient wants to renew his driver’s license in the next month.
Elevate the head of the bed.
Restrain the client’s arms and legs.
Place a tongue blade in the client’s mouth.
Take measures to prevent injury.
Loosening restrictive clothing
Restraining the client’s limbs
Removing the pillow and raising padded side rails
Positioning the client to side, if possible, with the head flexed forward
The nurse should insert a padded tongue blade in the patient’s mouth to prevent the child from swallowing or choking on his tongue.
The nurse should help the mother restrain the child to prevent him from injuring himself.
The nurse should call the operator to page for seizure assistance.
The nurse should clear the area and position the client safely.
Place the child in the nearest bed
Administer IV medication to slow down the seizure
Place a padded tongue blade in the child's mouth
Remove the child's toys from the immediate area
Pad the side rails
Place a pillow under the left buttock
Insert a padded tongue blade into the mouth
Maintain a patent airway
Phenobarbitol, 150 mg hs
Amitriptylene (Elavil), 10 mg QID.
Valproic acid (Depakote), 150 mg BID
Phenytoin (Dilantin), 100 mg TID
The medication can cause dental staining.
The client will need to avoid a high-carbohydrate diet.
The client will need a regularly scheduled CBC.
The medication can cause problems with drowsiness.
Short, abrupt muscle contraction
Quick, bilateral severe jerking movements
Abrupt loss of muscle tone
A brief lapse in consciousness
Order a stat admission CBC.
Place a urine collection bag and specimen cup at the bedside.
Place a cooling mattress on his bed
Pad the side rails of his bed.
Hold the clients arms and leg firmly
Place the client immediately to soft surface
Protects the client’s head from injury
Attempt to insert a tongue depressor between the client’s teeth
Position the client on the side with head flexed forward
Elevate the head
Use tongue depressor between teeth
Loosen restrictive clothing
Be unable to move the extremities
Be drowsy and prone to sleep
Remember events before the seizure
Have a drop in blood pressure