Emergency department after having a seizure

Select one of the following discussion questions below. Post a substantive initial response with references.

D.F. is a 37-year-old woman who presents to the emergency department after having a seizure.

Subjective Data

PMH: Seizures, unknown type

Headache

Housewife

Feels weak

No loss of consciousness

Objective Data

Vital signs: T 37 P 72 R 18 BP 114/64

Lungs: Clear all bases

O2 sat = 100%

CV = heart rate regular, positive peripheral pulses

PERRLA

Questions

What other questions should the nurse ask about the seizures?
What other assessments are necessary for this patient?
What are some of the causes of seizures?
Develop a problem list from objective and subjective data.
What should be included in the plan of care?
What other risk factors are associated with this presentation?

find the cost of your paper

Sample Answer

 

 

 

Further Assessment for D.F.

Seizure History:

  • When was the last seizure and how long did it last?
  • What were the specific symptoms experienced during the seizure (aura, convulsions, loss of control)?
  • Has D.F. ever had a seizure before? If yes, how often do they occur?
  • Was there any trigger or precipitating factor (lack of sleep, stress, illness)?
  • Does D.F. take any medications for seizures? If yes, what are they and has she been compliant?
  • Does D.F. have a history of head trauma or meningitis?
  • Does D.F. have any family history of seizures or neurological disorders?

Full Answer Section

 

 

 

Additional Assessments:

  • Neurological assessment: Assess mental status, orientation, motor function, sensory function, and coordination.
  • Blood tests: CBC, electrolytes, glucose, calcium, magnesium, liver function tests, kidney function tests (to rule out metabolic imbalances or infections).
  • Electroencephalogram (EEG) to capture brainwave activity and potentially identify seizure type and localization.
  • CT scan or MRI of the brain (if clinically indicated) to rule out structural abnormalities, tumors, or bleeding.

Causes of Seizures:

  • Epilepsy (most common)
  • Head trauma
  • Stroke
  • Brain tumors
  • Meningitis
  • Encephalitis
  • Metabolic disturbances (hypoglycemia, electrolyte imbalances)
  • Substance abuse
  • Alcohol withdrawal

Problem List:

  • Seizure of unknown type
  • Weakness
  • Headache

Plan of Care:

  • Monitor vital signs and neurological status closely.
  • Administer anti-seizure medication as ordered by the physician.
  • Obtain necessary diagnostic tests.
  • Maintain patient safety and prevent injury.
  • Educate D.F. about seizures, medications, and safety precautions.
  • Develop a referral plan for a neurologist for further evaluation and management.

Additional Risk Factors:

  • Age (young adulthood and late adulthood)
  • Family history of seizures
  • Head trauma
  • Brain tumors
  • Stroke
  • Meningitis
  • Substance abuse
  • Sleep deprivation
  • Stress
  • Electrolyte imbalances

Disclaimer: This information is for educational purposes only and should not be construed as medical advice. Please consult with a qualified healthcare professional for diagnosis and treatment.

This question has been answered.

Get Answer