About
Chronic disease characterized by spontaneous seizure activity.
Assess
Description of seizure( s), events surrounding seizure, length of time seizure occurred, associated body movements, jerking, rigidity, absence, rule out other neurological and metabolic causes ( i.e., electrolyte imbalances, stroke, brain injury, alcohol or drug withdrawal)
Complications
Status epilepticus- emergent treatment needed to prevent brain anoxia, impaired oxygenation, and death.
Cerebral vascular accident; injury
Diagnosis
- Risk for injury related to excess electrical stimuli in brain secondary to epilepsy
- Ineffective health maintenance related to deficient knowledge of disease process and medication management
Goals
- The client will be free from injury.
- The client will identify medication rationale, side effects, and regimen.
Interventions
- Perform neurological checks every 2 hours.
- Assess onset, length, duration, and types of symptoms.
- Assess neurological status and vital signs frequently.
- Monitor for seizures.
- Pad the bed side-rails.
- During a seizure, maintain a patent airway and turn head to the side.
- Record the time and duration of seizure episodes.
- Administer medications ( antiepileptic medications for prevention, benzodiazepines during status epilepticus, etc.) as ordered.
- Teach client about the medications he/ she is receiving and potential side-effects.
- Teach client that drugs should never be discontinued, even if seizure-free, unless indicated by physician.
- Teach client to wear a medical alert bracelet to identify disease in acute emergency.
- Maintain a patent IV.
- Prepare for diagnostic tests as indicated.
- Monitor for signs/ symptoms of complications.
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