Generalized tonic-clonic seizures may also be called grand mal or convulsive seizures. They can be scary to watch if you’ve never seen one before. The person loses consciousness, falls, stiffens (the tonic portion of the seizure and jerks (the clonic portion of the seizure). Show Although a convulsive seizure looks painful, the person is not conscious during the seizure and not aware of what is happening. After the seizure, the person may feel pain from tongue biting, muscle soreness, headache, or bruises from falling. The seizure is often followed by confusion and tiredness, in what is called the postictal period. These seizures usually last less than 3 minutes, but the time can seem like an eternity to others.
A convulsion is a medical condition where body muscles contract and relax rapidly and repeatedly, resulting in an uncontrolled shaking of the body.Because a convulsion is often a symptom of an epileptic seizure, the term convulsion is sometimes used as a synonym for seizure. However, not all epileptic seizures lead to convulsions, and not all convulsions are caused by epileptic seizures. Convulsions are also consistent with an
electric shock. Epilepsy – Symptom complex characterized by attacks of unconsciousness that may or may not be associated with convulsions, sensory phenomenon or abnormalities in behaviour. Primarily generalized seizures can be sub-classified into a number of categories, depending on their behavioural effects: Partial seizures (also called focal seizures and localized seizures) are seizures which affect only a part of the brain at onset.The brain is divided into two hemispheres, each consisting of four lobes – the frontal, temporal, parietal and occipital lobes. In partial seizures the seizure is generated in and affects just one part of the brain – the whole hemisphere or part of a lobe. . Partial seizures can be further characterized as:
Jacksonian (focal Seizure)
Complex partial seizures (AKA Psychomotor Seizure and focal motor seizure)
III. Status Epilepticus
Diagnostic Procedures
Nursing Management
References:
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Nursing Care PlanNursing Diagnosis
Risk factors may include
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Carry out medications as indicated: Specific drug therapy depends on seizure type, with some patients requiring polytherapy or frequent medication adjustments.
Nursing Diagnosis
Risk factors may include
Possibly evidenced by
Desired Outcomes
Nursing Interventions
Nursing Diagnosis
May be related to
Possibly evidenced by
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Nursing Diagnosis
May be related to
Possibly evidenced by
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Other Possible Nursing Care Plans
What are nursing priorities after a seizure?Promote airway clearance.
Maintain in lying position, flat surface; turn head to side during seizure activity; loosen clothing from neck or chest and abdominal areas; suction as needed; supervise supplemental oxygen or bag ventilation as needed postictally.
What are the priorities of care for a patient during and after a seizure?The priorities when caring for a patient who is seizing are to maintain a patent airway, protect the patient from injury, provide care during and following the seizure and documenting the event in the health record. to pre-seizure level of consciousness.
What should be the first nursing action for patient having seizure?These are general steps to help someone who is having any type seizure:. Stay with the person until the seizure ends and he or she is fully awake. ... . Comfort the person and speak calmly.. Check to see if the person is wearing a medical bracelet or other emergency information.. Keep yourself and other people calm.. What nursing interventions are included in seizure precautions?Seizure precautions include patient bed in the lowest position with side rails padded, or if possible, the mattress should be placed on the floor. Suction and oxygen equipment must be available at the patient's bedside. In some patients, environmental stimuli may trigger a seizure.
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