Seizures Case Study (45 min)

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Study Tools For Seizures Case Study (45 min)

Seizure Causes (Mnemonic)
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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.

Critical Thinking Check
Bloom's Taxonomy: Application

What initial nursing assessments need to be performed for Mr. Cerulean?

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Upon assessment, Ms. Cerulean is lethargic, localizes to pain, but does not follow commands. She is diaphoretic, and her vitals are stable.

Critical Thinking Check
Bloom's Taxonomy: Analysis

Why is the patient experiencing a decreased level of consciousness at this time?

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Critical Thinking Check
Bloom's Taxonomy: Comprehension

Suddenly, the patient begins jerking. Her muscles are cycling back and forth between tight contractions and rhythmic jerking. What is this called?

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Critical Thinking Check
Bloom's Taxonomy: Analysis

What is/are your priority nursing action(s) at this time?

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Critical Thinking Check
Bloom's Taxonomy: Analysis

What medication(s) would you expect to give to Ms. Cerulean?

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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.

Critical Thinking Check
Bloom's Taxonomy: Comprehension

What is the name of the condition Ms. Cerulean is in now?

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Critical Thinking Check
Bloom's Taxonomy: Comprehension

What is the purpose of the EEG?

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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.

Critical Thinking Check
Bloom's Taxonomy: Comprehension

What are the risks of a prolonged seizure?

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N1 Exam 4

Concepts Covered:

  • Oncology Disorders
  • Gastrointestinal Disorders
  • Digestive System
  • Terminology
  • Upper GI Disorders
  • Lower GI Disorders
  • Newborn Complications
  • Noninfectious Respiratory Disorder
  • Nervous System
  • Substance Abuse Disorders
  • Immunological Disorders
  • Respiratory Emergencies
  • Shock
  • Respiratory Disorders
  • Neurological Trauma
  • Neurological Emergencies
  • Respiratory System
  • Emergency Care of the Neurological Patient
  • Central Nervous System Disorders – Brain
  • Musculoskeletal Trauma
  • Liver & Gallbladder Disorders
  • Preoperative Nursing
  • Neurologic and Cognitive Disorders
  • Peripheral Nervous System Disorders
  • Central Nervous System Disorders – Spinal Cord
  • Acute & Chronic Renal Disorders
  • Disorders of the Posterior Pituitary Gland
  • Cognitive Disorders
  • Hematologic Disorders
  • Renal and Urinary Disorders
  • Urinary Disorders
  • Neurological
  • Infectious Respiratory Disorder
  • Musculoskeletal Disorders
  • Emergency Care of the Trauma Patient
  • Pregnancy Risks
  • Prioritization
  • Test Taking Strategies

Study Plan Lessons

Colonoscopy
Colorectal Cancer (colon rectal cancer)
Constipation and Encopresis (Incontinence)
Digestion & Absorption
Digestive Terminology
Endoscopy & EGD
Esophagus
Functional GI Disorders (Obstruction, Ileus, Diabetic Gastroparesis, Gastroesophageal Reflux, Irritable Bowel Syndrome) for Progressive Care Certified Nurse (PCCN)
Gastritis
Gastrointestinal (GI) Course Introduction
GERD (Gastroesophageal Reflux Disease)
Lower Gastrointestinal (GI) Module Intro
Nursing Care Plan (NCP) for Abdominal Pain
Nursing Care Plan (NCP) for Appendicitis
Nursing Care Plan (NCP) for Bowel Obstruction
Nursing Care Plan (NCP) for Colorectal Cancer (Colon Cancer)
Nursing Care Plan (NCP) for Constipation / Encopresis
Nursing Care Plan (NCP) for Diverticulosis / Diverticulitis
Nursing Care Plan (NCP) for GI (Gastrointestinal) Bleed
Nursing Care Plan (NCP) for Inflammatory Bowel Disease (Ulcerative Colitis / Crohn’s Disease)
Nursing Care Plan (NCP) for Ovarian Cancer
Nursing Care Plan (NCP) for Pancreatitis
Nursing Case Study for Colon Cancer
Nursing Care Plan for Liver Cancer
Upper Gastrointestinal (GI) Module Intro
Abdomen (Abdominal) Assessment
Body System Assessments
Chronic Obstructive Pulmonary Disease (COPD) Case Study (60 min)
Cranial Nerves
Head to Toe Nursing Assessment (Physical Exam)
Lung Cancer
Nursing Care and Pathophysiology for Anaphylaxis
Nursing Care and Pathophysiology for Asthma
Nursing Care and Pathophysiology of Acute Respiratory Distress Syndrome (ARDS)
Nursing Care Plan (NCP) for Acute Respiratory Distress Syndrome
Nursing Care Plan (NCP) for Anaphylaxis
Nursing Care Plan (NCP) for GI (Gastrointestinal) Bleed
Nursing Care Plan (NCP) for Impaired Gas Exchange
Nursing Care Plan (NCP) for Pancreatitis
Nursing Care Plan (NCP) for Respiratory Failure
Nursing Care Plan (NCP) for Pulmonary Embolism
Nursing Care Plan (NCP) for Spinal Cord Injury
Nursing Care Plan for Restrictive Lung Diseases (Pulmonary Fibrosis, Neuromuscular Disorders)
Pleural Space Complications (Pneumothorax, Hemothorax, Pleural Effusion, Empyema, Chylothorax) for Progressive Care Certified Nurse (PCCN)
Pneumonia
Stroke Assessment (CVA)
Thorax and Lungs Assessment
Trach Suctioning
Acute Confusion
Adjunct Neuro Assessments
Bladder Cancer
Brain Tumors
Cranial Nerves
General Assessment (Physical assessment)
Head to Toe Nursing Assessment (Physical Exam)
Hepatic Disorders (Cirrhosis, Hepatitis, Portal Hypertension) for Progressive Care Certified Nurse (PCCN)
Increased Intracranial Pressure
Intracranial Hemorrhage
Intracranial Pressure ICP
Intro to Health Assessment
Introduction to Health Assessment
Levels of Consciousness (LOC)
Migraines
Miscellaneous Nerve Disorders
Meningitis
Neuro Assessment
Neuro Assessment Module Intro
Neuro Course Introduction
Neuro Terminology
Neurological Disorders (Multiple Sclerosis, Myasthenia Gravis, Guillain-Barré Syndrome) for Certified Emergency Nursing (CEN)
Neurological Fractures
Nursing Care and Pathophysiology for Multiple Sclerosis (MS)
Nursing Care and Pathophysiology for Parkinsons
Nursing Care and Pathophysiology of Chronic Kidney (Renal) Disease (CKD)
Nursing Care and Pathophysiology for SIADH (Syndrome of Inappropriate antidiuretic Hormone Secretion)
Nursing Care Plan (NCP) for Alzheimer’s Disease
Nursing Care Plan (NCP) for Brain Tumors
Nursing Care Plan (NCP) for Bronchoscopy (Procedure)
Nursing Care Plan (NCP) for Dementia
Nursing Care Plan (NCP) for Disseminated Intravascular Coagulation (DIC)
Nursing Care Plan (NCP) for Encephalopathy
Nursing Care Plan (NCP) for Enuresis / Bedwetting
Nursing Care Plan (NCP) for Hydrocephalus
Nursing Care Plan (NCP) for Impaired Gas Exchange
Nursing Care Plan (NCP) for Migraines
Nursing Care Plan (NCP) for Multiple Sclerosis (MS)
Nursing Care Plan (NCP) for Meningitis
Nursing Care Plan (NCP) for Neural Tube Defect, Spina Bifida
Nursing Care Plan (NCP) for Parkinson’s Disease
Nursing Care Plan (NCP) for Pneumonia
Nursing Care Plan (NCP) for Pneumothorax/Hemothorax
Nursing Care Plan (NCP) for Pulmonary Embolism
Nursing Care Plan (NCP) for Respiratory Failure
Nursing Care Plan (NCP) for Risk for Fall
Nursing Care Plan (NCP) for Seizures
Nursing Care Plan (NCP) for Skull Fractures
Nursing Care Plan (NCP) for Spinal Cord Injury
Nursing Care Plan (NCP) for Stroke (CVA)
Nursing Care Plan for Restrictive Lung Diseases (Pulmonary Fibrosis, Neuromuscular Disorders)
Nursing Case Study for Head Injury
Nursing Case Study for Hepatitis
Nutrition Assessments
Prioritizing Assessments
Restrictive Lung Diseases (Pulmonary Fibrosis, Neuromuscular Disorders)
Routine Neuro Assessments
Seizures Case Study (45 min)
Spinal Cord Injury
Stomach Cancer (Gastric Cancer)
Stroke Assessment (CVA)
Stroke (CVA) Management in the ER
Stroke Case Study (45 min)
Stroke Concept Map
Vomiting