Seizures Case Study (45 min)
Included In This Lesson
Study Tools For Seizures Case Study (45 min)
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?
Exam 2 10/22/25
Concepts Covered:
- Hematologic Disorders
- Terminology
- Central Nervous System Disorders – Brain
- Medication Administration
- Neurologic and Cognitive Disorders
- Peripheral Nervous System Disorders
- Intraoperative Nursing
- Acute & Chronic Renal Disorders
- Immunological Disorders
- Emergency Care of the Neurological Patient
- Studying
- Neurological Emergencies
- Respiratory Disorders
- Oncology Disorders
- Oncologic Disorders
- Test Taking Strategies
- Cognitive Disorders
- Documentation and Communication
- Legal and Ethical Issues
- Communication
- Basics of NCLEX
- Preoperative Nursing
- Substance Abuse Disorders
- Hematologic Disorders
- Emotions and Motivation
- Labor Complications
- Statistics
- Cardiac Disorders
- Emergency Care of the Cardiac Patient