Can have eyelid fluttering blinking lip smacking 9 Atonic a Momentary loss of

Can have eyelid fluttering blinking lip smacking 9

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Can have eyelid fluttering, blinking, lip smacking9.Atonic 10.Myoclonic a.Sudden brief contractures of muscles11.Infantile spasms 12.Febrile 21.SEIZURE ASSESSMENTccii.Onset; time of occurrence; triggerscciii.Precipitating factors (fever, infection, trauma, fatigue, anxiety, medications, activity)cciv.Behavior, movement, face, eyes, respiratoryccv.Record any sensory phenomenaccvi.Duration and progressionccvii.Postictal behavior (confusion, amnesia, headache, sleep)ccviii.Labs 1.Lead, glucose, electrolytes, metabolic panel, WBC, tox screen, genetic testingccix.Neuroimagingccx.CT2.Hemorrhage, infarction, malformationsccxi.MRI3.More anatomic detail, tumorsccxii.Lumbar puncture (LP) 4.If infection is suspectedccxiii.EEG5.*most useful tool6.Confirms presence of abnormal electrical discharges7.Gives info on type and focus
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22.STATUS EPILEPTICUSA.What is it?1.1stline2.Can be given Rectalccxix.Dilantin (fosphenytoin) IVccxx.Dilantin (phenytoin) POccxxi.phenobarbitalccxxii.Ativan (lorazepam)ccxxiii.Depokate (Valproic acid)23.MEDICATIONSA.Decrease cerebral edema B.Decrease seizures ccxxiv.Osmotic diuretics ccxxv.Sedativesccxxvi.Analgesics ccxxvii.Decadron with infectionsccxxviii.Antiepileptics 1.Dilantin2.Phenobarbital3.Tegretol4.Depakote24.SEIZURE NURSING CARE
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ccxxix.Side rails raised when child is sleepingccxxx.Side rails and other hard objects are paddedccxxxi.Waterproof mattress or pad on bed or cribccxxxii.Swim with a companionccxxxiii.Showers preferred; bathing only with close supervisionccxxxiv.Protective helmet and padding during biking, skateboarding, in-line skatingccxxxv.Carry or wear medical identification ccxxxvi.Child may not drive or operate hazardous machinery or equipment unless seizure free for a designated periodccxxxvii.Place on sideccxxxviii.Suctionccxxxix.Vital signs25.SEIZURE TREATMENT26.CEREBRAL PALSYccxl.Abnormal perception and sensationccxli.Visual, hearing, and speech impairmentsccxlii.Seizuresccxliii.Cognitive disabilities.ccxliv.*Spastic (most common) (contractures; hyper-reflexion)ccxlv.Dyskinetic (non-spastic; writhing movements)ccxlvi.Ataxic (poor coordination)ccxlvii.Mixedccxlviii.Delayed gross motor development
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ccxlix.Alterations in motor performance, muscle tone, postures, & reflexesccl.Cognitive impairment (only 30%)ccli.Seizures (in some children; comorbidity)cclii.Monitor developmental milestonesccliii.Structure care around developmental age (not chronological)ccliv.
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  • Spring '14
  • Roberts,CristineAnn
  • Traumatic brain injury, Cerebrospinal fluid, Headache

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