Treatment FAQ

treatment plan for a teenager who had a seizure

by Houston Hermann I Published 2 years ago Updated 2 years ago
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Treatment for seizures often involves the use of anti-seizure medications. There are many different options for anti-seizure medication. One of the more recent medications approved by the Food and Drug Administration, cannabidiol (Epidiolex), is derived from marijuana.

Full Answer

What is the best treatment for a child with seizures?

This is an extreme type of surgery that is only used when medications aren't effective in managing seizures and seizures affect only half of the brain. Many daily functional abilities may be lost after this surgery, but children can often recover those abilities with significant rehabilitation. Thermal ablation (laser interstitial thermal therapy).

What can I do if my student has a seizure?

Helping students avoid seizure triggers, such as flashing lights, or other triggers identified in the seizure action plan. Monitoring and addressing any related medical conditions, including mental health concerns such as depression.

What is the first line of treatment for a seizure?

Next, stop the seizure. The first line is benzodiazepines, with lorazepam having the highest potency. Benzodiazepines are best administered intravenously but can also be given intraosseously, intranasally (lorazepam and midazolam), intramuscularly (midazolam) and rectally (diazepam) 17 if IV access is difficult to obtain in pediatric patients.

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What do you do when a teenager has a seizure?

Do not put anything into the person's mouth during a seizure. They won't swallow their tongue, and forcing the mouth open may cause an injury. Talk with the person in a calm, reassuring way after the seizure is over. If you can, tell them what happened before, during, and after the seizure.

What is the appropriate treatment for someone who is having a seizure?

Clear hard or sharp objects away from the person. Don't try to hold them down or stop the movements. Place them on their side, to help keep their airway clear. Look at your watch at the start of the seizure, to time its length.

What is the best first aid treatment for managing a seizure?

Place something soft under their head and loosen any tight clothing. Reassure the person until they recover. Time the seizure, if you can. Gently roll the person onto their side after the jerking stops.

What are the interventions in cases of seizure?

These are general steps to help someone who is having any type seizure: Stay with the person until the seizure ends and he or she is fully awake. After it ends, help the person sit in a safe place. Once they are alert and able to communicate, tell them what happened in very simple terms.

What to do after a child has a seizure?

Call 911 if the seizure doesn't stop within three to five minutes or the child doesn't regain full consciousness after it's ended. Once the child is fully awake, give them pain medication such as acetaminophen or ibuprofen to lessen pain or fever accompanying the seizure.

What do you do after a first seizure?

“If someone around you has a seizure, first focus on making sure he is safe,” she says. “Put a pillow behind his head so he doesn't hurt himself. Don't hold him down and never put anything in his mouth. Once it's over, the person may be very disoriented.”

What do nurses do during a seizure?

Maintain in lying position, flat surface; turn head to side during seizure activity; loosen clothing from neck or chest and abdominal areas; suction as needed; supervise supplemental oxygen or bag ventilation as needed postictally. Improve self-esteem.

Is CPR needed after a seizure?

Make sure their breathing is okay This happens when the chest muscles tighten during the tonic phase of a seizure. As this part of a seizure ends, the muscles will relax and the person will start breathing normally again. You don't need to do rescue breathing or CPR for that kind of change in breathing.

What is the recovery position after a seizure?

Move the bent leg that is nearest to you, in front of their body so that it is resting on the floor. This position will help to balance them. Gently raise their chin to tilt their head back slightly, as this will open up their airway and help them to breathe.

What is an epilepsy care plan?

A care plan for your epilepsy should be like a 'road map' of your condition, and its treatment and management. It should have information about your epilepsy and seizures, and your treatment, including what treatment you are on, any treatments that you are starting or what might be considered in the future.

What is the priority action for a client experiencing a seizure?

The priorities when caring for a patient who is seizing are to maintain a patent airway, protect the patient from injury, provide care during and following the seizure and documenting the event in the health record.

When caring for a client with a seizure disorder What nursing interventions are indicated?

Seizure Nursing Care Plan 3Nursing Interventions for SeizuresRationaleAssess the patient's airway patency.Maintaining a clear and open airway is essential to retain airway clearance.Keep track of the patient's breathing rate, rhythm, depth, and exertion.Provides a baseline for measuring ventilation adequacy.12 more rows

How to help someone who has a seizure?

Stay calm and be a comfort. Staying calm is crucial while someone’s having a seizure. If you’re calm, it can help others stay calm as well. People can feel embarrassed or confused about what happened. After the seizure, speak calmly, clearly and in simple terms to let the person know he or she is safe.

What to do after a seizure?

After the seizure, speak calmly, clearly and in simple terms to let the person know he or she is safe. Offer to stay with the person or call a parent or loved one for the person. Know when to call 911. Seizures do not usually require medical attention.

What type of seizures are there?

There are many types of seizures that people can experience. Most people think of the tonic-clonic (grand mal), convulsing type seizures. The most important thing in providing help to a person experiencing a seizure is to give general care and comfort and keep the person safe.

How long should you stay with a seizure?

Stay with the person until the seizure is over. Seizures are unpredictable in that a person may not know how long it will last or what will happen during it. A person could experience mild symptoms but then fall or lose consciousness. There is a risk of injury during and after the seizure, and the person may need help.

What happens when a person has another seizure?

The person has another seizure soon after a seizure ends. The person has a seizure closer together than usual for that person’s condition. The person is injured during the seizure. The seizure happened in water. The person has a health condition such as diabetes, heart disease or is pregnant.

How many people have a seizure in their lifetime?

According to the Centers for Disease Control and Prevention (CDC), about 1 out of 10 people may have a seizure in their lifetime. Having a seizure is much more common than many people realize –– and one day, you may need to help someone.

What to do if you see someone having a seizure?

If you see someone having a seizure: Do not put anything in the person’s mouth. This is a prevailing myth; someone having a seizure can’t choke on or swallow his or her tongue. Placing something in the mouth can cause injury to the teeth or jaw. Do not hold the person down. This doesn’t stop or shorten the seizure.

What is EEG for seizures?

Diagnosis. An EEG records the electrical activity of your brain via electrodes affixed to your scalp. EEG results show changes in brain activity that may be useful in diagnosing brain conditions, especially epilepsy and other seizure disorders.

Does keto help with seizures?

Following a diet that's high in fat and low in carbohydrates, known as a ketogenic diet, can improve seizure control. This is used only if traditional medications fail to control the seizures. This diet isn't easy to maintain, but is successful at reducing seizures for some people.

Is EEG normal during seizures?

During a seizure, the pattern on the EEG differs from the normal pattern. Brain scans. In absence seizures, brain-imaging studies, such as magnetic resonance imaging (MRI), will be normal. But tests such as MRI can produce detailed images of the brain, which can help rule out other problems, such as a stroke or a brain tumor.

Can a seizure cause anxiety?

If you're living with a seizure disorder, you may feel anxious or stressed about what your future holds. Stress can affect your mental health, so it's important to talk with your doctor about your feelings and seek resources for help.

Can you drive with a seizure disorder?

Ask your doctor about driving or recreation restrictions. Someone with a seizure disorder will have to be seizure-free for reasonable lengths of time (intervals vary from state to state) before being able to drive. Don't bathe or swim unless someone else is nearby to help if needed.

Can you taper off anti-seizure medication?

Children may be able to taper off anti-seizure medications, under a doctor's supervision, after they've been seizure-free for two years. Drugs prescribed for absence seizure include: Ethosuximide (Zarontin). This is the drug most doctors start with for absence seizures. In most cases, seizures respond well to this drug.

What is a seizure action plan?

Seizure Action Plans are an important tool that help parents and schools partner to keep children safe and healthy during the school day. from the Epilepsy Foundation.

What is the purpose of monitoring student behavior with epilepsy?

Monitoring student behavior to prevent bullying of students with epilepsy.

What is the most common disorder that causes seizures?

Epilepsy is a common disorder of the brain that causes recurring seizures. Epilepsy affects people of all ages, but children and older adults are more likely to have epilepsy . Seizures are the main sign of epilepsy and most people can control this with treatment.

What to look for in a generalized seizure?

2. Generalized seizures involve both hemispheres, so look for convulsive bilateral motor involvement, but don't be surprised if there are no convulsions present.

What is the most common convulsive event in pediatrics?

Currently, there are no consensus guidelines for the treatment of these seizures, and inter-physician management varies widely. 12 (See Table 1) Febrile seizures are the most common convulsive events in pediatrics, occurring in 2-5% of children and accounting for the most common cause of provoked seizures. 1. Pearl.

Can a first time seizure be a first seizure?

What appears as a first-time seizure may not actually be a patient's first seizure. Diagnosis of epilepsy is made after 2 unprovoked seizures or 1 unprovoked with an abnormal EEG.2. Intubation. Airway is a priority in the seizing patient.

Can a child feign seizure activity?

These are more common in the adolescent population since the younger pediatric patient cannot feign seizure activity. 3. Loss of consciousness always precedes perceived seizure activity with syncope.

Can benzodiazepines be given intramuscularly?

Benzodiazepines are best administered intravenously but can also be given intraosseously, intranasally (lorazepam and midazolam), intramuscularly ( midazolam) and rectally (diazepam) 17 if IV access is difficult to obtain in pediatric patients. If seizing continues, try one more dose of benzodiazepines.

Can you give pyridoxine to a child with seizures?

Pyridoxine and When To Use It#N#Pyridoxine-dependent seizures are a diagnosis unique to pediatric patients. Administer pyridoxine (100 mg IV) to infants with seizures unresponsive to conventional anticonvulsants (defined as unresponsive to first and second line antiseizure medications). 24

What are the expected outcomes of a seizure nursing care plan?

Below are the common expected outcomes for seizure nursing care plan: Patient will verbalize understanding of factors that contribute to the possibility of trauma and or suffocation and take steps to correct the situation. Patient will identify actions or measures to take when seizure activity occurs.

What happens if you restrain a patient during a seizure?

Note: If the attempt is made to restrain the patient during a seizure, erratic movements may increase, and the patient may injure self or others. Note pre-seizure activity, presence of aura or unusual behavior, type of seizure activity (location or duration of motor activity, and frequency or recurrence.

What is a seizure in the brain?

Seizures are physical findings or changes in behavior caused by uncontrolled electrical firing or discharges from the nerve cells of the cerebral cortex and are characterized by sudden, brief attacks of altered consciousness, motor activity and sensory phenomena.

What is the cause of a seizure?

Seizures can be caused by head injuries, brain tumors, lead poisoning, maldevelopment of the brain, genetic and infectious illnesses, and fevers. Sensory symptoms arise from the parietal lobe; motor symptoms arise from the frontal lobe.

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Diagnosis

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After a seizure, your doctor will thoroughly review your symptoms and medical history. Your doctor may order several tests to determine the cause of your seizure and evaluate how likely it is that you'll have another one. Tests may include: 1. A neurological exam.Your doctor may evaluate your behavior, motor abilities and m…
See more on mayoclinic.org

Treatment

  • Not everyone who has one seizure will have another one, and because a seizure can be an isolated incident, your doctor may not decide to start treatment until you've had more than one. The optimal goal in seizure treatment is to find the best possible therapy to stop seizures, with the fewest side effects.
See more on mayoclinic.org

Clinical Trials

  • Explore Mayo Clinic studiestesting new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition.
See more on mayoclinic.org

Coping and Support

  • If you're living with a seizure disorder, you may feel anxious or stressed about what your future holds. Stress can affect your mental health, so it's important to talk with your health care professional about your feelings and seek ways you can find help.
See more on mayoclinic.org

Preparing For Your Appointment

  • In some cases, seizures need immediate medical attention, and there's not always time to prepare for an appointment. In other cases, your first appointment to evaluate a seizure may be with your family doctor. Or you may be referred to a specialist, such as a doctor trained in brain and nervous system conditions (neurologist) or a neurologist trained in epilepsy (epileptologist). To prepare f…
See more on mayoclinic.org

Diagnosis

Treatment

  • Your doctor likely will start at the lowest dose of anti-seizure medication possible and increase the dosage as needed to control the seizures. Children may be able to taper off anti-seizure medications, under a doctor's supervision, after they've been seizure-free for two years. Drugs prescribed for absence seizure include: 1. Ethosuximide (Zarontin).This is the drug most doctor…
See more on mayoclinic.org

Clinical Trials

  • Explore Mayo Clinic studiestesting new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition.
See more on mayoclinic.org

Lifestyle and Home Remedies

  • Dietary therapy
    Following a diet that's high in fat and low in carbohydrates, known as a ketogenic diet, can improve seizure control. This is used only if traditional medications fail to control the seizures. This diet isn't easy to maintain, but is successful at reducing seizures for some people. Variation…
  • Additional options
    Here are other steps you might take to help with seizure control: 1. Take medication correctly.Don't adjust the dosage before talking to your doctor. If you feel your medication should be changed, discuss it with your doctor. 2. Get enough sleep.Lack of sleep can trigger seizures. …
See more on mayoclinic.org

Coping and Support

  • If you're living with a seizure disorder, you may feel anxious or stressed about what your future holds. Stress can affect your mental health, so it's important to talk with your doctor about your feelings and seek resources for help.
See more on mayoclinic.org

Preparing For Your Appointment

  • You're likely to start by seeing your family doctor or a general practitioner. However, you'll probably be referred to a doctor who specializes in nervous system disorders (neurologist). Here's some information to help you get ready for the appointment.
See more on mayoclinic.org

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