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Upgrade: free 7-day trial Profile Picture Epilepsy/Seizures - Naplex Questions and answers
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Upgrade: free 7-day trial Profile Picture Epilepsy/Seizures - Naplex Questions and answers
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Epilepsy/Seizures - NaplexQuestions and answers
What is the most common test done to diagnose epilepsy? - answer
Electroencephalogram (EEG)
What are the three types of seizures? - answer -Focal Seizures
-Generalized Seizures
-Unknown onset seizures
Where do Focal vs Generalized seizures start? - answer Focal: starts
on one side of the brain and can spread to other
Generalized: starts on both sides of the brain
What are the classes of Focal Seizures? - answer Focal Aware
Seizure (Simple Partial Seizure) = focal seizure with no loss of
consciousness
,Focal Seizure with Impaired Awareness (Complex Partial Seizure) =
focal seizure with loss of consciousness
What is an Absence Seizure? - answer Def: generalized seizure
without motor symptoms (looks like a staring spell)
What are the First Aide steps for Seizures? - answer -Clear area
around the person
-Ease them onto floor and turned to the side
-Remove any glasses and loosen shirt tie
-Time seizure
-DO NOT hold them down allow them to move
*Call 911 if not breathing or seizure longer then 5 min*
What is Status Epilepticus? - answer Seizure lasting longer than 5
min
0-5 minutes stabilizations phase - answer time seiuzre
start EEG, check BG, treat with D35-D50,
Check AED, electrolytes, oxygen if needed
What is the 1st line of treatment for Status Epilepticus?
*5-20 minutes after seizure Initial treatment phase* - answer
Benzodiazepine:
-IV Lorazepam (Ativan)
Alternatives
, -IM Midazolam (Versed)
-Rectal Diazepam (*Diastat AcuDial*)
If 1st line doesn't work, then what is the 2nd line of treatment for
Status Epilepticus?
*20-40 minutes Second treatment phase* - answer -IV Fosphenytoin
-Valproic Acid
-Levetiracetam
-Phenobarbital (last line if above don't work)
Diastat Acudil is given to patients or caregivers of patients with -
answer risk of long lasting seizures
Each package contain two rectal syringes prefilled with diazepam
rectal gel.
See pg 842
1. Hold barrel
2. Adjust dose
3. Lock to see dose winder and "ready"
4. Repeat for second dose
Pharmacist notes:
Syringes come in 2,5,10,20 mg
Syringes must be dialed to the right dose before DISPENSING
Once locked, syringe would say ready and it cannot be unlocked
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