, Inhoud
Wat is epilepsie?..................................................................................................................... 2
Handig filmpje:..................................................................................................................... 2
Hoe ontstaat epilepsie?........................................................................................................... 2
Triggers:.................................................................................................................................. 3
Eenmalige aanval................................................................................................................ 3
Classificatie van aanvallen:.....................................................................................................3
Begin in de hersenen........................................................................................................... 3
Gewaarwording van de aanval............................................................................................3
Andere symptomen.............................................................................................................. 4
Focale aanvallen met intacte gewaarwording:.........................................................................4
Focale aanvallen met verminderde gewaarwording:...............................................................4
Aanvallen vanuit de temporaalkwab:...................................................................................4
Bij aanvallen vanuit de temporaalkwab raakt het bewustzijn geleidelijk verstoord. De
zorgvrager reageert nergens op, ook niet op pijnprikkels. De zorgvrager heeft een
starende blik, is bleek of loopt juist rood aan. De zorgvrager kan vreemd gedrag vertonen,
dit worden automatismen genoemd:....................................................................................4
Aanvallen vanuit de frontaalkwab........................................................................................5
Tonisch-clonische aanvallen:..................................................................................................5
Absences en mycologische aanvallen:....................................................................................5
Verschillende aanvallen in de classificatie:..............................................................................6
Andere aanvallen en aanvalsontregeling:................................................................................6
Status epilepticus:................................................................................................................ 6
Reguliere behandelingen:.......................................................................................................7
Behandeling met medicijnen:..................................................................................................7
Werking van anti-epileptica:.................................................................................................7
Therapietrouw:..................................................................................................................... 7
Aanvalsbeschrijving:............................................................................................................ 8
Eerste keus medicijn:........................................................................................................... 8
Aandachtspunten bij medicatie:...............................................................................................8
Bewaren van de medicatie:..................................................................................................8
Bloedspiegel controleren:....................................................................................................8
Kinderwens of zwangerschap:.............................................................................................8
Stoppen of afbouwen van medicatie:...................................................................................8
Coupeer- of noodmedicatie:....................................................................................................9
Cliënten op mijn werk met epilepsie:.....................................................................................10
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