WorksheetsEpilepticus
Total questions: 15
Worksheet time: 8mins
Mr Y admitted to General ICU with Status Epilepticus. What is/are possible clinical presentation that is/are consistent with Mr Y diagnosis?
Incontinence of urine
Alteration in conscious level
Tonic or clonic body movements
Involuntary motor activities such as lips smacking
A patient is on intravenous Dilantin (phenytoin) infusion to treat generalized seizures. The nurse should monitor
hypotension and bradycardia
signs of respiratory depression.
4 hourly dextrostix to detect hypoglycaemia
serum electrolyte to detect electrolyte imbalance
The immediate nursing intervention(s) for a patient with generalized tonic-clonic seizure is/are
soft restrain the patient to prevent injury.
monitor SPO2 and administer oxygen if indicated
observe and record the duration of the seizure episode
administer benzodiazepines group of drug to abort the seizure.
Below about status epilepticus
seizure activity 30 minutes or more
seizure activity lasting at least 10 minutes.
Not Involve tonic & clonic
Not involve generalize seizure
Etiology epilepticus
Compliance anti-convulsion drugs
Ac. alcohol withdrawal
Brain tumors
Euvolemia
Clinical presentation
Alteration in LOC
Incontinence stool
Alert and conscious
Continence urine
Result showed change in
Hypokalemia
Decreased in CK
Increase in lactic acid
hypercapnia in ABG
To protect patient from injury
Do not leave patient
Remove pillow
Restrain the patient
Pad side rail
Management patient icludes
Insert nasopharyngeal airway
maintain privacy
administer oral drug to stop seizure
Obtain blood culture
Agent to prevent recurrent seizure
Lorazepam
Phenytoin
Phenobarbital
Valium
Agent for refractory status epilepticus
Midazolam
Propofol
Diazepam
Lorazepam
During postictal period
Elevate HOB 90 degrees
Provide privacy
Do not allow patient to sleep
Reorient patient
Adverse effect of Diazepam
Respiratory depression
Bradycardia
Hypertension
Dysrhythmias
Complication includes
Injury
Ac.Resp.Failure
Resp or metabolic alkalosis
Hypokalemia
Complications to monitor
Myoglobinurea
Acid base in balance
Hyperglycaemia
Hyperthermia
