Seizures Case Study (45 min)
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Outline
Ms. Cerulean is a 22 year old female admitted via EMS after a seizure witnessed by family members about 20 minutes ago. She has an IV in place.
What initial nursing assessments need to be performed for Mr. Cerulean?
Upon assessment, Ms. Cerulean is lethargic, localizes to pain, but does not follow commands. She is diaphoretic, and her vitals are stable.
Why is the patient experiencing a decreased level of consciousness at this time?
Suddenly, the patient begins jerking. Her muscles are cycling back and forth between tight contractions and rhythmic jerking. What is this called?
What is/are your priority nursing action(s) at this time?
What medication(s) would you expect to give to Ms. Cerulean?
Per provider orders, you administer 2mg Ativan IV Push twice in 10 minutes. Ms. Cerulean continues to seize without ceasing. The provider determines that she needs to be intubated for airway protection. Per orders, you administer a loading dose of levetiracetam and fosphenytoin and the EEG technician is on the way to place the EEG electrodes.
What is the name of the condition Ms. Cerulean is in now?
What is the purpose of the EEG?
Ms. Cerulean is placed on a phenobarbital IV drip and additional doses of levetiracetam and fosphenytoin are administered q6h per provider orders. After 20 hours, the EEG finally begins to show decreased seizure activity.
What are the risks of a prolonged seizure?
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Nursing Case Studies
This nursing case study course is designed to help nursing students build critical thinking. Each case study was written by experienced nurses with first hand knowledge of the “real-world” disease process. To help you increase your nursing clinical judgement (critical thinking), each case study includes answers laid out by Blooms Taxonomy to help you see that you are progressing to clinical analysis.
We encourage you to read the case study and really through the “critical thinking checks” as this is where the real learning occurs. If you get tripped up by a specific question, no worries, just dig into an associated lesson on the topic and reinforce your understanding. In the end, that is what nursing case studies are all about – growing in your clinical judgement.
