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10 Cards in this Set

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  • Back
1st five Questions on seizure Hx
1. How long and How many
2. Any change in recent Sz pattern
3. Head trauma just prior?
4. What meds r u on?
5. aura or premonition?
1st five Questions on seizure Hx
1. How long and How many
2. Any change in recent Sz pattern
3. Head trauma just prior?
4. What meds r u on?
5. aura or premonition?
last 5 questions in Sz history
1. remember what you were doing before hand

2. bite your tongue, urine?

3. how long did you feel confused

4. Alcohol, BZDs or other illegal durgs
what injury is commonly missed after a sz
posterior shoulder dislocation
PCP is assocated with what type fo nystagmus
rotary
Automatisms (lips smakcking, swallowing, chewing other repetitive actions) are common in
complex (no conciousness) partial (one sided) Sz
securing the airway in an actively seizing patient
place them in the Left lateral decubitus position, suction if still not protected intubate the best choice induction agent is midazolam (versed)...if trismus make intubation difficult use paralyzing agent (this does not stop siezure just muscle activity...get EEG)
Status epilepticus is often a result ofs
secondary causes of seizures
must be administered over 60 minutes
Valproate acid (depacote)
typical agent used to induce barbituate coma (a last resort if abortive therapy is not working is)
pentobarbital or isofluorane both require the pateint to be ventilated

pentobarbital suppresses all cortical activity