Medical Surgical Nursing

(Tina Sui) #1

Specific Causes of Seizures



  • Cerebrovascular disease

  • Hypoxemia

  • Fever (childhood)

  • Head injury

  • Hypertension

  • Central nervous system infections

  • Metabolic and toxic conditions

  • Brain tumor

  • Drug and alcohol withdrawal

  • Allergies


Plan of Care for a Patient Experiencing a Seizure



  • Observation and documentation of patient signs and symptoms before, during, and
    after seizure

  • Nursing actions during seizure for patient safety and protection

  • After seizure care to prevent complications


Nursing Care after the Seizure



  • Keep the patient on one side to prevent aspiration. Make sure the airway is patent.

  • There is usually a period of confusion after a grand mal seizure.

  • A short apneic period may occur during or immediately after a generalized seizure.

  • The patient, on awakening, should be reoriented to the environment.

  • If the patient becomes agitated after a seizure, use calm persuasion and gentle


restraint.

Free download pdf