ASSESSMENT SUBJECTIVE: “Bigla na lang nanginig ang anak ko” as verbalized by the mother.

OBJECTIVE: -rolling back of eyes -jerking movements of upper extremities

DIAGNOSIS Risk for Injury related to

INFERENCE Seizures are disturbances in normal brain function resulting from abnormal electrical discharges in the brain, which can cause loss of consciousness, uncontrolled body movements, changes in behaviors and sensation, and changes in the autonomic system. Majority of seizures happen within the first years of life.

PLANNING After 8 hours of nursing interventions, the patient’s parents will be able to: - reduce risk factors of seizure -protect the patient from harm -keep patient safe

INTERVENTION Independent: · Explore with the patient the various stimuli that may precipitate seizure activity.

RATIONALE · Lack of sleep, flashing lights and prolonged television viewing may increase brain activity that may cause potential seizure activity. · Enables the patient to protect self from injury. · Minimizes injury should seizure occur while patient is in bed. · Use of helmet may provide added protection for individuals during aura or seizure activity.

EVALUATION After 8 hours of nursing interventions, the patient’s parents was able to: - reduce risk factors of seizure -protect the patient from harm -keep patient safe

· Discuss seizure warning signs and usual seizure pattern. · Keep padded side rails up with bed in the lowest position.

· Evaluate need for protective head gear.

· Turn head to side or suction airway as indicated. Insert plastic bite block only if jaw are relaxed.

· Help maintain airway and reduces risk of oral trauma but should not be forced or inserted when teeth are

with some patients requiring polytherapy or frequent medications adjustment. Collaborative: · Administer medications as indicated. · Patient may be confused. . · Gentle guiding of extremities reduces risk of physical injury when patient lacks voluntary muscle control.clenched because dental or softtissue may damage. disoriented after seizure and need help to regain control and alleviate anxiety. or assist to floor if out of bed. · Reorient patient following seizure activity. · Specific drug therapy depends on seizure type. · Cradle head. place on soft area.

doxycycline. constipation. · Monitor patient hypersensitivity to agitation. pregnancy nervousness. epigastric doses deep in a large pain muscle mass (gluteus Rashes. blood barbiturates. thinking produce abnormality arteriospasm. may dizziness. hallucinations.(hangover). vastus angioneurotic edema. previous residual sedation phenobarbital. Antiepileptic agent Mechanism of Action · Increased serum levels and therapeutic and toxic effects with valproic acid · Increased CNS depression with alcohol · Increased risk of nephrotoxicity with methoxyflurane · Increased risk of neuromuscular excitation and hypotension with barbiturate anesthetics · Decreased effects of the following drugs: theophyllines. Barbita (CAN). gangrene. parenteral) · Preanesthetic (parenteral) · Anticonvulsant treatment of Dose. · Administer IM diarrhea. C-IV controlled substance Drug classes: Barbiturate (long acting). CNS appropriate) if any of marked liver depression. maximus. griseofulvin. intra-arterially. lethargy. lateralis) or other serum sickness. neonatal withdrawal disturbance. oral anticoagulants. Anticonvulsant. lactation. beta-blockers. syndrome). corticosteroids. little risk of Contraindcations Side Effect . and toxic reactions to strychnine or local anesthetics. nightmares. syncope · Administer IV Nausea. confusion. contraceptives.Drug Brand Name: Barbilixir (CAN). tetanus. Route. ataxia. eclampsia. vomiting. psychiatric hormonal (fetal damage. Frequency Gr ¼ in am Gr 1 n pm Oral Nursing Responsibilities Contraindicated with Somnolence. phenobarbital sodium. those associated with status epilepticus. vertigo. Solfoton. Indication · Sedative (oral or parenteral) · Hypnotic. responses. drugs are given with severe respiratory distress. areas where there is morbiliform rash. · Do not administer insomnia. levels (as or latent porphyria. manifest hyperkinesia. hormonal contraceptives and estrogens. the above interacting impairment. Sedative. Bellatal. shortterm (up to 2 wk) treatment of insomnia (oral or parenteral) · Long-term treatment of generalized tonicclonic and cortical focal seizures (oral) · Emergency control of certain acute convulsive episodes (eg. anxiety. addiction to sedative. hypotension. meningitis. Hypnotic. Parenteral: Luminal Sodium Pregnancy Category D. suggest alternative hypnotic drugs (may paradoxical means of be ineffective and may contraception to contribute to further excitement. nephritis. women using addiction). doses slowly. thrombosis. Bradycardia.

arterial spasm with inadvertent intraarterial injection. extravasation (IV use). withdrawal syndrome encountering a nerve trunk or major artery.metronidazole. renal. laryngospasm. . phenylbutazones. quinidine generalized tonicclonic and cortical focal seizures (parenteral) · Emergency control of acute convulsions (tetanus. rarely. BP. especially in epileptic patients. parenteral) urticaria. bronchospasm. · Arrange for periodic laboratory tests of hematopoietic. and hepatic systems during long-term therapy. eclampsia. tissue necrosis at injection site. psychological and physical dependence. respiratory depression. · Monitor P. gangrene. Solutions are alkaline and very irritating to the tissues. · Monitor injection sites carefully for irritation. exfoliative dermatitis. permanent neurologic deficit if injected near a nerve Hypoventilation. · Taper dosage gradually after repeated use. apnea. respiration carefully during IV administration. StevensJohnson syndrome Pain. epilepticus. circulatory collapse Tolerance. thrombophlebitis.