Question

14818-11 ream Can I 90? COURI 315-93. need do I - Guilife 587-iel Neuro Case Study D.F. is a 37-year-old woman who presents to the emergency department after having a seizure PMH Seiz Hriston Subjective Data post medical PMH Seizures, unknown type Headache Housewife Feels weak (Simple) (focal No loss of consciousness - portal Beizure (Awake taware) Objective Data Anal 98. NOV Vital signs: T 37 P72 R 18 BP 114/64 Lungs: clear all bases O2 Sat 100% CV = heart rate regular, positive peripheral pulses PERRLA Questions 1. What other questions should the nurse ask about the seizures? ask m y person Did you have an aura before hand? Any visual changes? Sense of melhores? Did you notte any changes to one area of muscles? Had you hit your head or any head injury Are you diabetic? Any recent infections? Do you know what triggered the seizure? 2.What other assessments are necessary for this patient? History examination. Other Health problems, description of stizure plannen Previowser zures, current mudications. EEG. Blood test for Sodium, calcium magnesium, glucose, renal etc. Drug test. maybe C8F test for meningitis. CT Scan, meie 3. What are some of the causes of seizures? - imbalance of nerve-Signaling Chemicals (neurotransmit Hers) - Tumor -excessive alcoholuse - hypertension - Brain damage from illness / injury. meningitis 4. Develop a problem list from objective and subjective data. Stroke 5. What should be included in the plan of care? Take meds as directed, get rest, Avoid triggers, repeat testing os neded, se Doc. regularly. Anticonvulsant therapy to reduce # of seizures. hionitor lethargy, dizziness, shurred speech, nausea, vomiting, etc. 6. What other risk factors are associated with this presentation? 7. Based on the readings and the subjective and objective data, this patient most likely had what type of seizure? 10

#4 ,6,7

Answer 1

4. Problem list from subjective data:

• Altered emotions
• Lack of adequate sleep
• Intake of certain medications
• Continuous headache
• Intake of alcohol
• Dizziness

Problem list from objective data

• High fever
• Infection or inflammation
• Drug abuse
• Low immune system
• Low blood pressure
• Head trauma
• Metabolic disorders
• Structural changes in the brain

6. Some of the risk factors associated with this presentation are

• Previous episodes of epilepsy in childhood increases the risk.
• Brain and spinal infections increase the risk of seizures.
• Electrolyte imbalance increases the risk of associated with the seizure.
• Emotional health issues increase the risk of the problem.

7. The patient had a generalized seizure because she had partial awareness of the seizure episode. Only a specific part of the brain has affected in partial seizure which leads to a generalized seizure.