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MEDICAL SURGICAL NURSING - EPILEPSY
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MEDICAL- SURGICAL NURSING DR. T. MERCENE DNP, MSN, BSN, RNBCSCENARIO The patient is a 38 year old woman with a history of seizures since birth who arrives with her sister. She is otherwise in... good health. Her current diagnosis is epilepsy. Her aura is a very brief "strange sensation." She is amnesic for the ictal period but family members report that she becomes quiet with a blank stare and then yells “Jesus help me” several times while pulling at her clothing. Occasionally family will report that she developed tonic-clonic activity and rarely she has been incontinent. After the seizure she is fatigued and confused and often has a headaches.SCENARIO Phenytoin, phenobarbital, valproic acid, and experimental medications have been tried in the past. Her sister has been instructed on administering lorazepam when she is experiencing several consecutive seizures that occur over a 15-minute period or after her second bilaterally evolved focal seizure for the day. Her sister administers the lorazepam approximately once every 2 weeks but there is no regular pattern to it. One week, she may not require any lorazepam; the next week, she may require it several times [Show More]
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