Phone: (513) 721-2905 Toll Free: (877) 804-2241 Email: [email protected] Website:  Improve Recognition of Seizures  Review Appropriate Response to Seizures  Review Administration of Rescue Medications.

Phone: (513) 721-2905
Toll Free: (877) 804-2241
Email: [email protected]
 Improve
Recognition of Seizures
 Review
Appropriate Response to Seizures
 Review
Administration of Rescue Medications
seizure is a brief interruption in the normal
functioning of the brain that takes the form
of a massive release of electrical energy (like
an electrical storm).
 This release of electrical energy and its
outward manifestation is what is called a
 Epilepsy
is defined as a neurological disorder
that is characterized by recurrent seizures
that occur on an unpredictable basis.
 The onset of these seizures can occur
without warning at any time in a person’s
million Americans are diagnosed with
 200,000 new cases of seizures and epilepsy
occur each year.
 Epilepsy strikes most often in the young
(under age 2) and the old (over 65 years),
although it can develop at any age.
 326,000 school age children (15 and under)
are affected by epilepsy; 90,000 of these
children have severe seizures.
 570,000 adults over 65 years develop
Symptomatic seizures can be linked to a direct
cause, including:
 Head trauma
 Lack of oxygen during birth
 Abnormal brain tissue (ex: tumors or tubers)
 Genetic conditions (such as tuberous sclerosis)
 Lead poisoning
 Brain malformations
 Brain infections (ex: meningitis or encephalitis)
 Stroke
 High Fever
 In
70% of the cases of epilepsy, the cause
cannot be determined.
 The remaining 30% have identifiable causes.
 Generalized
Seizures involve the whole
brain. They include:
 Partial
Seizures involve a specific area of the
brain. They include:
 Symptoms
of a tonic-clonic seizure include:
Loss of consciousness
Shallow breathing
Occasionally, skin may turn blue
Possible loss of bladder of bowel control
Usually followed by confusion, tiredness and
emotional upset
Usually lasts 1-3 minutes
 Symptoms
of an absence seizure include:
Pause in activity with a blank stare
Brief lapse of awareness
Usually lasts 1-10 seconds
May be confused with behavioral issues
 Symptoms
Altered awareness
Blank stare or dazed look
of complex seizures include:
Picking at clothes
Lip smacking
Garbled speech
Clumsy or disoriented movements
Aimless walking
Picking things up
Often lasts 1 to 3 minutes
Often followed by:
Emotional upset
May be confused with other behaviors
 Assess
individual’s needs and gather
 Customize
 Teach
a seizure action plan
family, friends and co-workers
interventions and tailor interventions as
Medically defined as 30 minutes of uninterrupted
seizure activity and may include:
One prolonged seizure
 Multiple seizures without recovery to baseline
Is a “MEDICAL EMERGENCY” and requires
immediate action to stop the seizure activity
 Every person’s seizure action plan should clearly
define what constitutes a seizure emergency and
have a detailed emergency plan response
 Discrete Status Epilepticus
First time seizure
 Convulsive seizure lasting more than 5 minutes
 Repeated seizures without regaining
 Individual has diabetes or is pregnant
 Seizure occurs in water or injury is suspected
 Parents/Guardians request an emergency
 If individual is not breathing after a convulsive
 Non-convulsive seizure lasting more than 5
minutes beyond the normal duration for that
Follow seizure emergency definition and protocol as defined by
healthcare provider in seizure action plan
 Sometimes
AEDs are prescribed for patients
who tend to have seizure clusters or status
 Several of these include:
Ativan ® (generic: lorazepam)
Versed ® (generic: midazolam); now available in
a nasal spray
Diastat ® (generic: diazepam); dispensed as a
rectal gel
 Remove
plastic cap from vial
 Twist the blunted needle into syringe
 Holding vial upside down insert the needle
into stopper and withdraw prescribed
amount of medication
 Remove needle and replace with MAD®
 The child’s head may be in any position
 Place the tip of the atomizer into the nostril
and press the plunger until ½ of the
midazolam has been atomized, and then
atomize the remainder into the other nostril.
895 Central Ave., Suite 550
Cincinnati, OH 45202
Phone: (513) 721-2905
Toll Free: (877) 804-2241
Fax: (513) 721-0799
Email: [email protected]

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