Electroencephalography (EEG)

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Study Tools For Electroencephalography (EEG)

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Outline

Overview

  1. Electroencephalography (EEG)
    1. Electrode to record brainwaves
    2. Diagnose brain issues

Nursing Points

General

  1. Procedure
    1. Scalp measured and marked by tech
    2. Sticky jelly on electrodes -> attach to scalp
    3. Records brainwaves
  2. Purpose
    1. Determine brain damage or death
    2. Diagnose dementia
    3. Diagnose stroke
  3. Indications
    1. Unconsious
    2. Seizures
    3. Confusion
    4. Tremors
    5. Memory loss
    6. Sleep disturbances

Assessment

  1. Before
    1. Explain procedure
    2. Avoid caffeine prior (may affect results)
    3. Give anxiety medications if needed

Therapeutic Management

  1. During
    1. Ask patient to stay still
    2. Attach electrodes to scalp with jelly on measured marks
  2. After
    1. Remove electrodes
    2. Wash jelly out of hair
    3. Results interpreted by neurologist

Nursing Concepts

  1. Cognition -> indication for EEG
  2. Intracranial Regulation -> EEG reads brainwaves

Patient Education

  1. Procedure can take an hour
  2. Doctor may choose to hold certain medications before EEG
  3. Avoid hair creams or sprays day of test

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Transcript

Hey guys! Welcome to the lesson about the electroencephalography or EEG!

The EEG records brainwaves to help diagnose brain damage or death, dementia, or strokes. Here is a picture of an EEG recording showing seizure activity. Next let’s discuss the indications for an EEG.

The doctor may order an EEG on a patient that has altered mental status like confusion, loss of consciousness, or memory loss. Seizures may indicate an EEG along with tremors or sleep disturbances. Let’s talk about the procedure. 

So first the scalp is measured by the EEG tech. Jelly is used to attach the electrodes to the scalp like in this picture. The machine then is able to record the brainwaves. Let’s discuss the nurse’s role. 

If the doctor orders an EEG, you will explain the procedure to the patient. They should avoid caffeine before the procedure so that it doesn’t interfere at all. Some patients may need anxiety meds before because it does last an hour. 

During the procedure, ask the patient to stay still. After it’s over, you can remove the electrodes and help the patient wash the jelly out of their hair. The neurologist will interpret the EEG results. Next we’ll talk about patient education. 

Let your patient know that the procedure takes about an hour. The doctor may hold certain medications before to get  clear reading that may be resumed after. Tell the patient to avoid all hair creams and sprays before the procedure so that it doesn’t interfere. 

The priority nursing concepts for the patient with an EEG are cognition and intracranial regulation. 

Alright guys, let’s review the key points. The EEG is where electrodes are attached to the scalp to record brain waves to diagnose brain disease or death. The doctor might order an EEG if the patient has seizures or altered mental status. You will explain the procedure to the patient and ask them to avoid caffeine before to avoid interference. During, ask the patient to stay still. After the recording, help them clean the jelly out of their hair. The neurologist will interpret the results. 

Okay guys, that’s it on the EEG! Now go out and be your best self today, and as always, happy nursing!

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A & P

Concepts Covered:

  • Cardiovascular
  • Circulatory System
  • Nervous System
  • Skeletal System
  • Emergency Care of the Cardiac Patient
  • Neurological
  • Respiratory
  • Urinary System
  • Respiratory System
  • Endocrine System
  • Studying
  • Tissues and Glands
  • Medication Administration
  • Hematologic System
  • Digestive System
  • Reproductive System
  • Endocrine and Metabolic Disorders
  • Preoperative Nursing
  • Integumentary Disorders
  • Urinary Disorders
  • Muscular System
  • Noninfectious Respiratory Disorder
  • Sensory System
  • Basics of Human Biology

Study Plan Lessons

02.03 Swan-Ganz Catheters for CCRN Review
02.04 Pulmonary Artery Wedge Pressure (PAWP) for CCRN Review
02.05 Calculating PAWP on PEEP for CCRN Review
02.07 Reading “A, C, V Waves” & PAWP Waveforms for CCRN Review
02.09 12 Lead EKG- Leads 1, 2, 3, aVL, and aVF for CCRN Review
02.10 12 Lead EKG- Lead V1-V6 for CCRN Review
02.11 12 Lead EKG- Injuries for CCRN Review
07.02 Neuro Anatomy for CCRN Review
10.01 Arterial Blood Gas (ABG) Interpretation for CCRN Review
10.02 Breath Sounds for CCRN Review
ABG Course (Arterial Blood Gas) Introduction
Adrenal Gland
Alkalosis and Acidosis Nursing Mnemonic (Kick Up, Drop Down)
Anatomy & Physiology Course Introduction
Anticholinergics – Side Effects Nursing Mnemonic (4 Can’ts)
Arterial Blood Gases Nursing Mnemonic (ROME)
Arterial Pressure Monitoring
Atropine (Atropen) Nursing Considerations
Autonomic Nervous System (ANS)
Autonomic Nervous System (ANS)
Beta 1 and Beta 2 Nursing Mnemonic (1 Heart, 2 Lungs)
Blood Grouping
Blood Plasma
Blood Pressure (BP) Control
Blood Vessels
Bone Structure
Bowel Elimination
Breathing Control
Breathing Movements
Calcium and Magnesium Imbalance for Certified Emergency Nursing (CEN)
Calculating Heart Rate
Cardiac (Heart) Physiology
Cardiac A&P Module Intro
Cardiac Cycle
Causes of Poor Gas Exchange Nursing Mnemonic (All People Can Value Lungs)
Cholinergic Crisis – Signs and Symptoms Nursing Mnemonic (SLUDGE)
Connective Tissues
Cranial Nerves
Development of Bones
Digestion & Absorption
Digestive System Anatomy
Drawing Blood
Drawing Blood from the IV
EKG (ECG) Course Introduction
EKG (ECG) Waveforms
EKG Basics – Live Tutoring Archive
Electrical A&P of the Heart
Electrical Activity in the Heart
Electroencephalography (EEG)
Electrolyte Imbalances for Progressive Care Certified Nurse (PCCN)
Electrolytes – Location in Body Nursing Mnemonic (PISO)
Electrolytes Involved in Cardiac (Heart) Conduction
Electromyography (EMG)
Epithelial (Skin) Tissues
Esophagus
Female Reproductive Anatomy (Anatomy and Physiology)
Fluid & Electrolytes Course Introduction
Fluid Volume Deficit
Formation & Excretion of Urine
Gastrointestinal (GI) Course Introduction
Glands
Health Assessment Course Introduction
Hygiene
Hyperkalemia – Causes Nursing Mnemonic (MACHINE)
Hyperkalemia – Management Nursing Mnemonic (AIRED)
Hyperkalemia – Signs and Symptoms Nursing Mnemonic (Murder)
Hypernatremia – Causes Nursing Mnemonic (MODEL)
Increase MAP Nursing Mnemonic (VAK)
Inserting a Foley (Urinary Catheter) – Male
Intro to Circulatory System
Intro to Health Assessment
Introduction to Health Assessment
Joints
Large Intestine
Liver & Gallbladder
Male Reproductive Anatomy (Anatomy and Physiology)
Membrane Potentials
Membranes
Mouth & Oropharynx
Muscle Anatomy (anatomy and physiology)
Muscle Contraction
Muscle Cytology
Muscle Physiology
Nerve Transmission
Nervous System Anatomy
Neuro Assessment Module Intro
Normal Sinus Rhythm
Nursing Care Plan (NCP) for Bronchoscopy (Procedure)
Nursing Care Plan (NCP) for Fluid Volume Deficit
Order of Lab Draws
Oxygen Delivery Module Intro
Pancreas
Parasympathomimetics (Cholinergics) Nursing Considerations
Pituitary Gland
Renal (Kidney) Acid-Base Balance
Renal (Kidney) Fluid & Electrolyte Balance
Renal (Kidney) Structure & Function
Renin Angiotensin Aldosterone System
Renin Angiotensin Aldosterone System (RAAS)
Respiratory A&P Module Intro
Respiratory Functions of Blood
Respiratory Structure & Function
Selecting THE vein
Sensory Basics
Skeletal Anatomy
Skeletal Muscle
Skin Structure & Function
Small Intestine
Sodium and Potassium Imbalance for Certified Emergency Nursing (CEN)
Spinal Cord
Stomach Video
Tattoos IV Insertion
The EKG (ECG) Graph
The Heart
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Tonicity of Solutions – Live Tutoring Archive
Trach Care
Trach Suctioning
Two pathways of the peripheral nervous system Nursing Mnemonic (SAME)
Types of Epithelial (Skin) Tissue
Urinary Elimination
Urinary System Anatomy (Anatomy and Physiology)