Nursing priorities of Epileptic Seizure

Nursing priorities of Epileptic Seizure

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Nursing priorities of Epileptic SeizureNursing priorities of Epileptic Seizure

NUR 2407 Pharmacology

Module 2 Assignment

Case Study  Epileptic Seizure

L.U. is a 16-year-old high school student with no previous health history. After soccer practice on an 85°F day he states he is very tired and has a headache. His teammate notice he is having trouble opening is combination lock to his locker. They call the trainer and as he is being examined, he starts to have a tonic-clonic seizure that lasts 30-seconds. Emergency Medical Services is called and L.U. is transported to the hospital.

Vital signs are: Temp. 99.8°F oral, HR 75, RR 18, B/P 130/80

At the hospital, L.U has another 45 sec. tonic-clonic seizure. The following medications are prescribed:

· Diazepam 10 mg IV stat

· Phenytoin 0.5mg/kg/min IV infusion

· Phenobarbital 1.5mg/kg IV push now

After two night in the hospital with no further seizures, L.U. is discharged with the following medications

· Valproic Acid 10mg/kg/day divided into two doses PO

· Carbamazine 150mg BID PO


Nursing priorities of Epileptic Seizure – Nurses Homework | Nurses Homework

1. Explain the pathophysiology of tonic-clonic seizure?

2. Name three nursing priorities?

3. List a short-term (during your shift) and a long-term (before discharge) SMART goal for the patient?

4. What is the classification, action, and therapeutic effect (reason) for each medications?

5. List drug interactions or contraindications to be concerned about for each drug?

6. What adverse effects/side effects does the nurse need to monitor for each medication?

7. What are some ethical or legal issues to consider with this case?

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