Seizures - You already know what to do!

A patient begins to seize, they are moving all 4 limbs in rhythmic jerking movements, and are unresponsive to your voice. What type of seizure are they experiencing?

Generalized

Focal Aware

Focal Impaired Awareness

Non-Epileptic

Continuous seizures that lasts for more than 5 minutes are considered a Code Blue.

True

False

All Non-Epileptic Seizures stem from a psychological source.

True

False

If the patient doesn't have an IV, IM ativan is just as effective.

True

False

When giving IV Ativan for status epilepticus, which is the correct dose we are recommended not to exceed?

2mg

4mg

20mg

8mg

Your patient stops responding to you mid-sentence, and is staring straight ahead at the wall for a period of ~45 seconds. Which type of seizure are they experiencing?

Generalized

Focal Impaired Awareness

Focal Aware

All patients will experience "auras" prior to having a seizure

True

False

How often do we assess NVS, 02, and sedation levels post seizure?

Q15-30 minute intervals x 1 hr, then PRN

They were ordered Qshift, continue that.

Q4H x 24 hrs

Your patient had a seizure ~ 12 hrs ago, they don't require accompaniment downstairs for their CT today.

True

False

Your patient begins having a generalized seizure up in their tilt wheelchair, which is the best course of action?

Get the patient back to bed immediately in the OHL

Tilt the chair in the most upright position, OHL to bed once seizure stops

Tilt the chair back, OHL to bed when seizure activity stops.

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