Seizure: Health Education HFT 201 By: Sophia Kol, MD
Seizure: Health Education HFT 201 By: Sophia Kol, MD
Seizure: Health Education HFT 201 By: Sophia Kol, MD
Definition:
Uncontrolled electrical discharges in the brain which may
produce a sudden change in brain function causing
physical convulsion, minor physical signs, thoughts
disturbances, or a combination of symptoms.
General Principles
psychic manifestations
Prodrome: sensation or feeling that a seizure will soon occur
Status Epilepticus: SZ > 30 mins of continuous SZ activity or
Generalized seizure
Consciousness is lost, may begin as generalized or partial seizures with
secondary generalization
Seizure
Moaning in the night
Really frightening dream
Feel angry inside
Looney noises in my head
Flashes of light
Awful pain in my brain
These are seizure
Laboratories
Blood study: CBC, UA, electrolytes, urine drug screening,
antiepileptic drugs level if indicated
Imaging: head CT, MRI, EEG
Lumbar Puncture (LP)
Treatment
Antiepileptic drugs: generally start with 2nd SZ with one
medication
Must be individualized according to the drug effectiveness
for SZ type, potential adverse reaction, cost, interaction with
other possible medications, and their mechanism of action
Surgery
Diet (ketogenic)/lifestyle modification
How can you help?
Maintain person’s airway is crucial
Positioning to sideway
Clear all clutter around, cushion person’s head
Never attempt to hold person down to stop the seizure
Never put anything in person’s mouth
Loosen up person’s clothing and time the SZ
Stay calm and call for help if SZ> 5 mins
Q&A
Seizure disorders may accompany all of the following EXCEPT:
http://ce.nurse.com/course/ce89-60/seizure-disord
ers
http://www.epilepsy.com/get-help/staying-
safe/managing-epilepsy-seizures-infographic