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NURS 5334 Seizure Case Study

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SEIZURE CASE STUDY 2 5334 CASE SUMMARY TABLE  Symptoms: List two pertinent signs and symptoms or risk factors  Generalized tonic-clonic (GTC) seizures are manifested by convulsive episodes a ... nd a loss of consciousness. The motor effects are two-sided and start with short sustained contractions of muscles followed by stiffness and rhythmic jerking movements (Wells, Schwinghammer, DiPiro, & DiPiro, 2017, p. 532). The patient may have a loss of bowel and/or bladder control, a tendency to bite their tongue, or become cyanotic due to low oxygen saturations (Wells et. al., 2017, p. 532). GTC seizures are commonly followed by periods of intense sleep (Wells et. al., 2017, p. 532).  Enzyme-inducing antiepileptic drugs (AED), such as carbamazepine, can decrease the efficacy of other frequently prescribed drugs in the elderly (Ferlazzo, Sueri, Gasparini, & Aguglia, 2016). Therefore, a 68-year-old male on carbamazepine monotherapy would be at risk of drug-drug interaction if being treated with glucocorticoids, anticoagulants, analgesics, antiretrovirals, statins, antihypertensives, or immunosuppressants (Ferlazzo et. al., 2016). Osteoporosis is widely found in those aged 65 and over and epilepsy increases the risk for fractures and seizure-related injuries due to poor bone health; carbamazepine may reduce bone density by decreasing vitamin D metabolism (Ferlazzo et. al., 2016). [Show More]

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