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Mysteries of the brain For nurses
By. Saili gaude
Generalized seizures
PETI- MAL
GRAND-MAL
Generalized seizures Involves both the
hemispheres as well as deeper brain structures.
Consciousness is always impaired.
sudden brief cessation of all motor activity accompanied by a blank stare and unresponsiveness.
Lasts from 5 to 10 sec.
Eyelids fluttering or automatisms.
TONIC – CLONIC SEIZURES
Tonic Phase
Tonic Phase
Tonic Phase
Clonic phase • Characterized by alternating
contraction and relaxation.
• Hyperventilation.
• Eyes roll back.
• Client froths at mouth.
• 60-90 sec.
Status epilepticus.
• Continuous , short periods of calm between intense and persistent seizures.
• Muscular contractions that can interfere with respirations.
• Hypoxia, acidosis, hypoglycemia, hyperthermia
Diagnostic testsMRI/CT scan
Skull X-ray
EEG
Lumbar puncture
Blood Studies
• Monitor vitals
• Note CNS side effects:blurredvision, slurred speech, confusion.
• Monitor serum calcium
• Monitor for Respiratory depression and CVS collapse.
• Cushion the head
• Loosen anything tight around neck
• Turn on the side
• Nothing orally
• Don’t hold down
• If seizures lasts for more than 5 minutes.
• If there is slow recovery , second seizure or difficulty breathing.
• If there are signs of injury.