Seizure Precautions

Seizure Precautions


  • Assess the child’s perinatal development and birth history.

  • Assess the child’s seizure history, including the following:

    • Type of seizures (obtain detailed description)

    • Typical frequency of seizures

    • Description of events before, during, and after seizure activity (i.e., Does the child experience long periods of apnea during or after the seizure? Does the child’s face change in color?)

    • Typical length of seizure events and at what point the seizure is treated

    • Auras that the child experiences before seizures

  • Assess the child’s and family’s understanding of seizures; address any concerns or questions.

  • Assess the child’s and family’s understanding of current antiepileptic medications, including purpose, side effects, and importance of adherence to medication regimen; address any concerns or questions.

  • Assess understanding of daily antiepileptic medications versus “rescue” medications to stop a seizure

  • Explain to the child and family why seizure precautions are necessary, using developmentally appropriate language (e.g., “The pad on the railing is soft, so you won’t hurt yourself if you bump it”).

  • Instruct the child and family to inform the nursing staff if the child senses an aura or exhibits any seizure activity.

imageThe initial assessment and history for a first unprovoked seizure are crucial in determining baseline functioning and the diagnostic modalities selected. Focal onset seizures and seizures associated with new persistent focal deficits are more likely to be caused by intracranial lesions (tumor, stroke, abscess, and vascular malformation).

Jul 9, 2020 | Posted by in NURSING | Comments Off on Seizure Precautions

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