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10 Cards in this Set
- Front
- Back
1st five Questions on seizure Hx
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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? |
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1st five Questions on seizure Hx
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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? |
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last 5 questions in Sz history
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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 |
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what injury is commonly missed after a sz
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posterior shoulder dislocation
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PCP is assocated with what type fo nystagmus
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rotary
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Automatisms (lips smakcking, swallowing, chewing other repetitive actions) are common in
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complex (no conciousness) partial (one sided) Sz
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securing the airway in an actively seizing patient
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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)
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Status epilepticus is often a result ofs
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secondary causes of seizures
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must be administered over 60 minutes
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Valproate acid (depacote)
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typical agent used to induce barbituate coma (a last resort if abortive therapy is not working is)
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pentobarbital or isofluorane both require the pateint to be ventilated
pentobarbital suppresses all cortical activity |