PREDISPOSING FACTORS 1. Head injury secondary to birth trauma 2. Lead poisoning 3. Genetics 4. Brain tumor 5.

Nutritional and metabolic deficiencies 6. Sudden withdrawal of anti-convulsive drugs

STATUS EPILEPTICUS

- A disorder of
the CNS characterized by paroxysmal seizures with or without loss of consciousness, alternation in sensation and perception, abnormal motor activity and changes in behavior;
IDIOPATIHIC

MEDICATIONS
Phenytoin (Dilantin) Gingival Hyperplasia Use soft-bristled toothbrush Nystagmus Hirsutism Diazepam (Valium) for status epilepticus Carbamazepine (Tegretol) Also used for Trigeminal neuralgia (Tic Dolor) Phenobarbitals (Luminal)

7. Physical and emotional stress

For a one year old client suffering grand mal seizures: NOT MouthpieceEh onte lang teeth ng one year old eh Give pillows support for the head (For banging of head during seizure activity)

1. CT-SCAN brain lesion d/t head trauma 2. EEG hyperactivity of brain waves (all elevated) Alpha, beta, delta, theta waves

generalized Grand Mal (Tonic-Clonic) With or without an aura Epigastric pain initial sign of an aura (aura is an initial sign of seizures) Visual auditory olfactory tactile sensory experience Epileptic cry Fall Loss of consciousness for 3-5 minutes Tonic-clonic contractions Direct symmetrical extension of extremities Shaking/convulsive activity Post-ictal sleep (unresponsive sleep) Petit Mal (Absence Seizure) S/sx: Blank stare Decreased blinking of the eyes Twitching of the mouth and loss of consciousness for 5-10 seconds

Status Epilepticus continuous uninterrupted seizure activity that if left untreated may lead to hyperpyrexia coma death Increased electrical activity in brain increased metabolism increased glucose and oxygen use, increased temperature coma death DOC: Valium, Glucose

Partial Seizures Jacksonian seizure (focal seizures) characterized by tingling and jerky movements of index finger and thumb spreads to shoulders Psychomotor seizure (focal-motor seizures) characterized by: Automatism stereotype, nonrepetitive and non-purposive behavior Clouding of consciousness not in contact with reality Mild hallucinating sensory experience

1. Maintain patent airway and promote safety before seizure activity 2. Avoid precipitating stimulus 3. Administer medications as ordered 4. Institute seizure and safety precautions 5. Monitor and document the following 6. Assist in CORTICAL RESECTION