STUDY GUIDE GRADED A+
◉diagnostic tests to diagnose a seizure (4). Answer: EEG - record
electrical activity of the brain
MRI - detect malformations / tumors
LP - detect pressure and infection
CT scan - detect hemorrhage or infarction
◉laboratory tests for seizures (7). Answer: lead level
WBC
blood glucose
electrolytes
metabolic panel
toxicology screen
genetic chromosomal analysis
◉nursing care DURING seizure. Answer: protect from injury
side-lying position
have suction available - maintain airway
,administer oxygen
stay with child
do not restrain
do not put anything in mouth
note onset and time of seizure
◉nursing care AFTER a seizure. Answer: maintain SL position
check breathing, VS, airway and for injury
neuro assessment
allow rest
maintain seizure precautions
note time of the postictal period
NPO until fully away
◉febrile seizures generally last under __ minutes. Answer: 5
◉fast treatment for epilepsy (rectal). Answer: diazepam
◉antiepileptic drugs (8). Answer: diazepam
phenytoin
carbamazepine
valproic acid
,fosphenytoin sodium
clonazepam
lamotrigine
tpiramate
◉gestational hypertension is. Answer: BP 140/90 on two occasions
at least 4 hours apart
*NO proteinuria*
◉mild preecplampia is. Answer: gestational hypertension *WITH*
proteinuria greater than or equal to 1+
edema present
may report transient headaches
◉sever preecplampsia is. Answer: BP greater than or equal to
160/110
proteinuria over 3+
oligura
creatinine >1.1
HA/blurred vision
hyperreflexia/clonus
edema
, ◉eclampsia is. Answer: severe preeclampsia with seizure or coma
◉HELLP syndrome is. Answer: severe preeclampsia *and*
hematologic condition that coexist resulting in hepatic dysfunction
H - hemolysis resulting in anemia
EL - elevated liver enzymes (AST, ALT)
LP - low platelets (100,000)
◉risk factors for gestational hypertension. Answer: age <19 or >40
obesity
primigravida
chronic hypertension
chronic renal failure
multi-fetal pregnancy
family history
DM
rheumatoid arthritis
lupus
◉what 2 anti-hypertensive medication groups should you avoid
during pregnancy. Answer: ace inhibitors (pril)