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Seizure Phases and Management of Seizures

Seizure Phases and Management of Seizures

Seizures are abrupt electrical disturbances in the brain that are uncontrolled and cause changes in behavior, movement, feeling, or a change in one’s level of consciousness. It is essential for medical workers to know the stages of a seizure and how to properly treat a seizure. Generalized tonic-clonic seizures, one of the most well-known seizure categories, normally develop in three stages: preictal, ictal, and postictal. The preictal phase, known as the aura, can also occur as a subtle premonition of the attack, like strange smells, visual disorders, and even moods: Seizure Phases and Management of Seizures.

This phase is important in the identification of the onsets and ensuring mechanisms of safety are put in place (Huff & Murr, 2023). The ictal phase is the active seizure period, as the patients might possibly lose consciousness and stiffen (tonic) with rhythmic jerking movements (clonic). Vera-González (2022) states that monitoring the length of time, physical engagement, and complications is crucial in the accurate representation and treatment. After this is the postictal phase, characterized by patients being confused, drowsy, or suffering from temporary neural defects resulting from weaknesses or inability to speak due to the recovery of the brain from this electrical imbalance.

Notably, acute measures and long-term approaches form the management of seizures. During the ictal phase, safety is important—caregivers should place the patient on their side, remove objects that may cause injury and ensure they do not place anything in the patient’s mouth. Airway patency maintenance and healthcare observation of the seizure are important aspects of immediate care. If the seizure persists for more than five minutes, emergency intervention is needed, as it is a status epilepticus, as noted by Ameli et al. (2021).

Seizure management in the long term will involve the administration of antiepileptic drugs (AEDs) such as levetiracetam or phenytoin, teaching the patient how to recognize triggers and avoid them, and ensuring medication compliance. Nurses have an important role in patient education, seizure monitoring, and the adoption of treatment plans to enhance the quality of life and decrease the frequency of seizures.

References

Ameli, P. A., Ammar, A. A., Owusu, K. A., & Maciel, C. B. (2021). Evaluation and management of seizures and status epilepticus. Neurologic Clinics, 39(2), 513–544. https://doi.org/10.1016/j.ncl.2021.01.009

Huff, J. S., & Murr, N. (2023). Seizure. PubMed; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK430765/

Vera-González, A. (2022). Pathophysiological mechanisms underlying the etiologies of seizures and epilepsy (S. J. Czuczwar, Ed.). PubMed; Exon Publications. https://www.ncbi.nlm.nih.gov/books/NBK580618/

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Question 


Week 9 topic 5140 ******** Seizure Phases and Management of Seizures********

Instructions:
Choose a topic from the exam “Focus Sheet” sign up list
  • Seizure Phases and Management of Seizures

Gather information on the topic and find a way to teach the topic to your peers.

Be creative. You can use images, diagrams, mnemonic devices, audio/video (your content only), algorithms, etc.

Be sure to cite any references for resources used.

After you’ve posted, find 2 peers and give respectful, constructive feedback on their topic. Feel free to ask any questions you may have about their topic.

Be sure to check your topic frequently to answer any questions from peers or the instructor to get full points.

Seizure Phases and Management of Seizures

Seizure Phases and Management of Seizures

Purpose:
The purpose of the threaded discussion is to promote dialogue among students and faculty related to course competencies and constructs to enhance mastery of knowledge related to course objectives.
Requirements
  • The student must provide the initial substantive response to the discussion question/topic(s) posted by the course faculty by Friday of those weeks with a discussion board assignment.
  • The student must also provide a minimum of two additional responses to two student colleagues on two different days by Tuesday of those weeks with a discussion board assignment.
  • All questions posed to the initial student post by course faculty need to be answered by the student to earn full credit for the discussion board assignment.
  • This should be substantive feedback to a student colleague’s response to the question/topic posted by the course faculty. All responses must be respectful and thoughtful.
  • Discussion boards are not opinion boards. Students are expected to have scholarly sources to support their claims and constructs presented in the original post and citations must be provided. While scholarly resources are not required for your response posts, they do strengthen your posts and you must cite information taken from a source. Citations for parts of posts that are synthesized from the course text, peer-reviewed research articles, and other credible sources are required. Course faculty monitor for the compliance of citations with Turnitin evaluation of the posts intermittently during the course session
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