Seizure nursing diagnosis

  1. 5 Febrile Seizure Nursing Care Plans
  2. 4 Nursing Care Plan On Head Injury
  3. Sample Seizure Nursing Care Plans
  4. Seizure Disorder Basics and Nursing Interventions
  5. 10 Electrolyte Imbalance Nursing Diagnosis & Care Plans
  6. Seizure Nursing Diagnosis & Care Plan
  7. Nursing care in the patient with epilepsy/seizures
  8. Seizure Disorders (Epilepsy) Nursing Care Management
  9. Sample Seizure Nursing Care Plans
  10. Nursing care in the patient with epilepsy/seizures


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5 Febrile Seizure Nursing Care Plans

Use this What are Febrile Seizures? Febrile seizures are seizures that happen in children between the ages of 6 months and 5 years, they are associated with high simple febrile complex Febrile seizures most often occur within 24 hours of the onset of fever and can be the first indication that a child is sick. Symptoms may include a high fever (102°F to 104°F [38.9°C to 40°C]), sudden loss of consciousness, Nursing Problem Priorities The following are the nursing priorities for patients with febrile seizures: • Ensure patient safety during the • Monitor and assess the duration and characteristics of the seizure. • Administer appropriate antipyretic medications as prescribed to control fever. • Provide emotional support and education to the patient and their • Collaborate with the healthcare team to identify and address the underlying cause of the fever. Paul Martin R.N. brings his wealth of experience from five years as a medical-surgical nurse to his role as a nursing instructor and writer for Nurseslabs, where he shares his expertise in nursing management, emergency care, critical care, infection control, and public health to help students and nurses become the best version of themselves and elevate the nursing profession.

4 Nursing Care Plan On Head Injury

This care plan on the head injury will help you provide care to a head injury patient. A traumatic brain injury may vary in degree of damage to brain tissue. As a result of injury, Primary impact to the brain may occur as skull fracture, concussion, contusion, and cerebral vessel damage. Secondary problems are hematoma, rupture of blood vessels, ischemia to brain tissue, infection, and increased intracranial pressure. Before Table of Contents • • • • • • • • • • • • • Head injury nursing assessment Glasgow coma scale (GCS) GCS assesses the conscious level of the patient. GCS 13-15 is considered as mild, 9-12 is moderate and 3-8 level indicates a decrease in the severe level of consciousness. It is considered the most sensitive indicator of the brain. In the Concussion It is a mild most common brain injury. It takes few days to get back to normal condition. Brain imaging such as CT scans and MRI shows no changes in the structure of the brain. Grade-I: There is no loss of consciousness. There may be little confusion. Symptoms disappear and it becomes normal within 15 minutes of injury. Grade-2: in grade-2 also there is no loss of consciousness. A little confusion, symptoms remain more than 15 minutes. Persistent symptoms after 1 week of injury need immediate imaging of the brain and doctor consultation. Grade-3: If there is loss of consciousness, it is considered a severe form of concussion. Symptoms of concussion are headache, dizziness, nausea, lethargy, difficulty in focu...

Sample Seizure Nursing Care Plans

It will include three seizure nursing care plans with NANDA nursing diagnoses, nursing assessment, expected outcome, and nursing interventions with rationales. Seizure Case Scenario A 22-year old female presents to the ED with complaints of confusion and “feeling strange.” The patient is accompanied by a friend who witnessed the patient having a seizure. The friend reports they were at a concert when the patient started feeling unwell and subsequently collapsed and had a seizure. The friend called for help and turned the patient on her side. After being turned to the side the patient vomited. In total, the seizure lasted for about 2 minutes. The patient’s friend confirms there were flashing lights at the concert, and also admits they both took an unknown pill. Upon assessment, the patient is lethargic and confused, oriented to person and place but disoriented regarding time, and situation. The patient has no recollection of the seizure and states “why did this happen to me?” The patient’s speech is slightly slurred but her neurological assessment is otherwise normal. Her temperature is 37.5 C, heart rate is 103 BPM, blood pressure is 115/76 mmHg, respirations 21 breaths/min, and oxygen saturation is 88% on room air. The nurse places the patient on 2L oxygen via nasal cannula. Upon auscultation, the patient’s lung sounds are coarse throughout. The patient’s blood work reveals low sodium of 125 mEq/L and a blood alcohol level of 0.10% (100 mg/dL). A urine toxicology screen i...

Seizure Disorder Basics and Nursing Interventions

Before I became a nurse, I thought seizures were rare events that only occurred in people with epilepsy. However, seizures are relatively common, have multiple causes and can present in a variety of ways. In this post we’ll talk about the basics of seizures, how they’re treated, and seizure nursing interventions to keep our patients safe. What is a seizure? Seizures are sudden and uncontrolled electrical disturbances in the brain that can range from mild to life-threatening. When a patient has recurrent seizures (at least two or more), then they are considered to have epilepsy. What causes seizures? A seizure can occur for a variety of reasons. In addition to epilepsy, seizures can occur in the presence of: • Brain injury secondary to trauma • Ischemic or hemorrhagic stroke • Hyponatremia (a low sodium level) • Alcohol withdrawal • Methamphetamine use • Hypoxia • Brain tumors, also known as “space-occupying lesions” • Medications that lower the seizure threshold (antidepressants are a great example). What are the different types of seizures? There are two main types of seizures, generalized and focal. Generalized seizures have several subtypes: • Tonic-clonic seizures, also known as Grand Mal seizures: This is most likely what you think of when you imagine a patient having a seizure. In tonic-clonic seizures, the patient abruptly loses consciousness, with their whole body stiffening and shaking. The patient may lose control of their bladder, bite their tongue, and thrash a...

10 Electrolyte Imbalance Nursing Diagnosis & Care Plans

10 Electrolyte Imbalance Nursing Diagnosis & Care Plans Electrolyte imbalance occurs when the levels of electrolytes in the body become too low or too high. Hospitalized patients are at an increased risk of electrolyte imbalances due to their conditions and the modalities used to treat them. Updated: Apr 28 Published Mar 29 • Table of Contents • • • • • • • • • • • • • • • • • • • • • • • If not treated promptly and correctly, some imbalanced electrolytes have life-threatening consequences and can even lead to cardiac arrest. When electrolytes become imbalanced, they can impair many of the body's critical functions, including blood acidity and pressure regulation, hydration levels, nerve and muscle coordination, and tissue repair. Losing body fluids caused by diarrhea, sweating, vomiting, medications, conditions, or extensive burns often lead to electrolyte imbalances that must be treated medically and with a nursing This article offers ten electrolyte imbalance nursing diagnoses and Signs and Symptoms of Electrolyte Imbalance Different types of electrolyte imbalances cause various signs and symptoms. The signs depend on which electrolyte is affected, the severity of the imbalance, and the presence of comorbidities. However, there are common signs you might observe with most types of imbalances. Many patients experience no noticeable symptoms if the imbalance is mild or occurs gradually. Common signs and symptoms of electrolyte imbalance include: • Fatigue • Muscle weaknes...

Seizure Nursing Diagnosis & Care Plan

Seizures occur when there is an uncontrolled burst of electrical activity in the brain that results in abnormalities in muscle control, sensations, and consciousness. Seizures can occur due to an array of conditions such as high fever, Epilepsy is diagnosed when there are two or more unprovoked seizures. Epilepsy can occur at any age and is usually attributed to genetics, prenatal or perinatal causes resulting in brain damage, brain malformations, severe head injuries, and infections in the brain. There are different types of epilepsy with their own manifestations. There is no cure for epilepsy, though some children may outgrow the disorder and others may become seizure-free after years of treatment. The Nursing Process Nurses may care for patients experiencing acute seizures in relation to a larger condition or traumatic injury or a patient who has had epilepsy for many years. In both instances, maintaining Nursing Care Plans Related to Seizures Risk For Injury Care Plan Seizures can result in a loss of awareness, consciousness, and voluntary control of the body increasing the Nursing Diagnosis: Related to: • Loss of muscle control • Falls • Loss of consciousness • Altered sensations • Convulsions • Impaired swallowing/airway clearance Note: A risk diagnosis is not evidenced by signs and symptoms as the problem has not occurred yet and the goal of Expected Outcomes: • Patient will remain safe and free from injury when experiencing a seizure • Patient will modify their env...

Nursing care in the patient with epilepsy/seizures

1Bachelor’s Degree in Nursing, International Center of Neurological Restoration (CIREN), Havana, Cuba 2Bachelor’s Degree in Nursing, Master in Satisfactory Longevity, International Center of Neurological Restoration (CIREN), Havana, Cuba 3Bachelor’s Degree in Nursing, Master in Infectious Diseases, International Center of Neurological Restoration (CIREN), Havana, Cuba 4Philosopher Doctor, 2nd Degree Specialist in Neurology, Full Professor and Researcher, Consultant Professor, International Center of Neurological Restoration, Havana, Cuba *Corresponding author: Juan Enrique Bender del Busto, MD, PhD, Philosopher Doctor, 2nd Degree Specialist in Neurology, Full Professor and Researcher, Consultant Professor, International Center of Neurological Restoration, Neurology Department, Havana, Cuba, Tel: +53 52524480; E-mail: [email protected] Epilepsy is considered to be as old as humanity itself and one of the most common Central Nervous System disorders. It has been known since ancient times and is considered a modern disease. It is a global health problem and is affected by more than 50 million people, most of them from developing countries and with psychobiological consequences and even the risk of death, as part of its complications. Comprehensive management is necessary, which includes preventive / prophylactic, pharmacological and non-pharmacological treatment and, therefore, the training of nursing staff in specialized protocols is essential, to ensure adequate patie...

Seizure Disorders (Epilepsy) Nursing Care Management

• • • • • • • • • • • • • • • • • • What is Seizure? Medical illustration of a brain with • Epilepsy is defined as a brain disorder characterized by an enduring predisposition to generate epileptic seizures and by the neurobiological, cognitive, psychological, and social consequences of this condition. • One of the earliest descriptions of a secondary generalized tonic-clonic seizure was recorded over 3000 years ago in Mesopotamia; the seizure was attributed to the god of the moon. • • A seizure is an abnormal, unregulated electrical discharge that occurs within the brain’s cortical gray matter and transiently interrupts normal brain function; a seizure typically causes altered awareness, abnormal sensations, focal involuntary movements, or convulsions (widespread violent involuntary contraction of voluntary muscles). Classification Seizures are classified as generalized or partial. Evaluating a child’s brain activity and behavioral activity via EEG | CHOC Children’s • Generalized seizures. In generalized seizures, the aberrant electrical discharge diffusely involves the entire cortex of both hemispheres from the onset, and consciousness is usually lost; generalized seizures result most often from metabolic disorders and sometimes from genetic disorders. • Partial seizures. In partial seizures, the excess neuronal discharge occurs in one cerebral cortex, and most often results from structural abnormalities; revised terminology for partial seizures has been proposed; in thi...

Sample Seizure Nursing Care Plans

It will include three seizure nursing care plans with NANDA nursing diagnoses, nursing assessment, expected outcome, and nursing interventions with rationales. Seizure Case Scenario A 22-year old female presents to the ED with complaints of confusion and “feeling strange.” The patient is accompanied by a friend who witnessed the patient having a seizure. The friend reports they were at a concert when the patient started feeling unwell and subsequently collapsed and had a seizure. The friend called for help and turned the patient on her side. After being turned to the side the patient vomited. In total, the seizure lasted for about 2 minutes. The patient’s friend confirms there were flashing lights at the concert, and also admits they both took an unknown pill. Upon assessment, the patient is lethargic and confused, oriented to person and place but disoriented regarding time, and situation. The patient has no recollection of the seizure and states “why did this happen to me?” The patient’s speech is slightly slurred but her neurological assessment is otherwise normal. Her temperature is 37.5 C, heart rate is 103 BPM, blood pressure is 115/76 mmHg, respirations 21 breaths/min, and oxygen saturation is 88% on room air. The nurse places the patient on 2L oxygen via nasal cannula. Upon auscultation, the patient’s lung sounds are coarse throughout. The patient’s blood work reveals low sodium of 125 mEq/L and a blood alcohol level of 0.10% (100 mg/dL). A urine toxicology screen i...

Nursing care in the patient with epilepsy/seizures

1Bachelor’s Degree in Nursing, International Center of Neurological Restoration (CIREN), Havana, Cuba 2Bachelor’s Degree in Nursing, Master in Satisfactory Longevity, International Center of Neurological Restoration (CIREN), Havana, Cuba 3Bachelor’s Degree in Nursing, Master in Infectious Diseases, International Center of Neurological Restoration (CIREN), Havana, Cuba 4Philosopher Doctor, 2nd Degree Specialist in Neurology, Full Professor and Researcher, Consultant Professor, International Center of Neurological Restoration, Havana, Cuba *Corresponding author: Juan Enrique Bender del Busto, MD, PhD, Philosopher Doctor, 2nd Degree Specialist in Neurology, Full Professor and Researcher, Consultant Professor, International Center of Neurological Restoration, Neurology Department, Havana, Cuba, Tel: +53 52524480; E-mail: [email protected] Epilepsy is considered to be as old as humanity itself and one of the most common Central Nervous System disorders. It has been known since ancient times and is considered a modern disease. It is a global health problem and is affected by more than 50 million people, most of them from developing countries and with psychobiological consequences and even the risk of death, as part of its complications. Comprehensive management is necessary, which includes preventive / prophylactic, pharmacological and non-pharmacological treatment and, therefore, the training of nursing staff in specialized protocols is essential, to ensure adequate patie...