Question

In: Nursing

Part 3 D.F. is a 37-year-old woman who presents to the emergency department after having a...

Part 3

D.F. is a 37-year-old woman who presents to the emergency department after having a seizure.

Subjective Data
PMH: Seizures, unknown type
Headache
Housewife
Feels weak
No loss of consciousness

Objective Data
Vital signs: T 99.1, P 72, R 18, BP 114/64
Lungs: clear all bases
O2 Sat = 100%
CV = heart rate regular, positive peripheral pulses
PERRLA

Questions:

a. What other questions should the nurse ask about the seizures?

b. What other assessments are necessary for this patient?

c. What are some of the causes of seizures?

d. Develop a problem list from objective and subjective data.

e. What should be included in the plan of care?

f. What other risk factors are associated with this presentation?

g. Based on the readings and the subjective and objective data, this patient most likely had what type of seizure?

Solutions

Expert Solution

A. Nurse can ask questions regarding seizures is..

  • Did she jerking movements or not
  • Enquire about loss of consciousness
  • How frequent are the seizure
  • Whether she talk while seizure or not?
  • Weather she can able to recall events during seizure?
  • Any past history of seizure?
  • In what situation do they occur?
  • How she feel immediately after episode
  • How long it last

B. ASSESSMENT NEED FOR THIS PATIENT

  1. complete medical history
  2. Physical examination
  3. Electroencephalogram(EEG)
  4. Brain MRI(magnetic resonance imaging.OR
  5. Computed tomography (CT)

C. CAUSES OF SEIZURE

  1. Head injury
  2. Brain infection
  3. Stroke
  4. Brain tumor
  5. Brain irritation from surgery

D. PROBLEM LIST

Weakness/fatigue

Deficient knowledge related to seizure

Risk for complication of future complex seizures

E. PLAN OF CARE

  • Anti epileptic medicine
  • Diet therapy
  • Devices
  • Surgical treatment
  • Education regarding cessation of alcohol , it help work medicine well
  • adequate sleep needed.
  • Advice to to do not miss any dose of medicine.

F. RISK FACTOR

  • Age
  • Family history
  • Head injury
  • Stroke
  • Vascular diseases
  • Dementia
  • Brain infection
  • Seizure in childhood.

G. From the history she may had the partial/focal onset aware seizure. Because this seizure starts in one area of brain.and the person remains alert and able to interact is called as focal onset aware seizure.

Nightingale answered 3 years ago
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