CONVULSIVE CONDITION(GRAND MAL EPILEPSY) (NURSING INTERVENTIONS…
CONVULSIVE CONDITION(GRAND MAL EPILEPSY)
It is caused by abnormal electrical activity throughout brain
Injury or infections like traumatic head injury.
Congenital or developmental abnormalities
Metabolic disturbances(hypoglycemia, low sodium level and others)
Tonic phase- loss of consciousness
Clonic phase-muscles undergo rythmic contractions
Seizures are caused by paroxysmal discharges from groups of neurons, which arise as a result of excessive excitation or loss of inhibition. The key unit of neurotransmission is the synapse, and the fundamental components of synapses are ion channels.
NURSING CARE PLAN
Injury, risk for weakness, balancing difficulties, cognitive limitations and loss of muscle contractions.
Self esteem-stigma associated with condition, perception of being out of control, personal vulnerability andnegative capabilities
Therapeutic regimen-social support deficit and perceived benefit
Loss of bowel and bladder control
Unresponsiveness after convulsions
A sream- some may cry out when it begins
Marked with confusion
Dertemine factors related to individual situation.
Ascetain knowledge of various stimuli
Explore and expound seizure warnings and usual seizure pattern.
Educate patient not to smoke except while supervised as cigarette may cause burns if dropped down during aura.
Do not leave patient during and after seizure.
Maintain patent airway and promote safety before seizure.
Maintain side rails
Avoid use of restrains.
turn client's head to side to prevent aspiration
Avoid precipitating stimuli such as bright and noise
Administer medication as prescribed-anti convulsant( Dilantin, phenytoin, carbamezepine and phenobarbital