1

Teaching Plan
My patient is J.D. He is 58 years old.
He is taking Docusate and Levetiracetam for Seizures and loss of consciousness.
Side effects of Docusate:
1. Stomach ache.
2. Diarrhoea.
3. Abnormal bowel movement.
4. Blockage of the intestine
Side effects of Levetiracetam:
1. Headache
2. Nervousness
3. Atypical behavior
4. Aggressive acts
5. Agitation
Potential complications:
Falling. You could damage your skull or break bones if you collapse during such a seizure
(Ruston et al., 2013).
Drowning. You're at risk of injury or death if you experience a seizure when trying to swim
or showering.
Accidents in automobiles. Whether you're driving a vehicle or running other machinery, a
seizure that causes the loss of consciousness or command can be perilous.
Problems of pregnancy. Seizures throughout pregnancy are dangerous for both the baby and
the mother, and several anti-epileptic drugs raise the risk of delivery abnormalities. If you do
have seizures and intend towards becoming pregnant, speak to a doctor such that your
treatments can be adjusted and during gestation could be monitored as necessary.
Allergies:
Sulphur drugs and reglan
Medical history:
Seizures versus pseudoseizures

Laboratory Test or Diagnostic Procedure

Pharmacologic Why is the Health What effect Was the
al Agent/class patient taking Teaching would you desired
meds? Needed expect to see? Effects(s)
Trade or regarding Observed in
Generic medications? the patient?
Give evidence
Dosage/Route/ that drugs are
Frequency working.

Seizures that are It's critical to Purpose: If Abdominal No known

just incomplete take seizure you're going to pain, diarrhoea, Interactions
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(acute) (Jiang et medicines on a prescribe a new and sore throats

al., 2015). routine basis, as prescription, are some of the
Partially basic directed by the ensure that the adverse effects.
(with motor, doctor. It offers patient knows - Additional
sensory, patients the what it's for. Details:
autonomic, or highest Patients will be i. The
psychic signs; opportunity of better able to medication's
consciousness is meeting the take their identity:
not impaired) seizure medications if Docusate
treatment targets they examine ii. Evidence to
Partially of no seizures this. This is suggest: bowel
intricate and no adverse especially true softener,
(consciousness consequences. for drugs used constipation
is impaired) Failure to to address the iv. Suggested
(Jiang et al., comply with start of signs dosage: 50 mg
2015) seizure including to 400 mg PO
medications, on headaches, iv. How often
Partially the other hand, vomiting, and should the
generalized can have serious diarrhoea. medicine be
convulsions and potentially chosen to take:
progressing to fatal effects. Effects and Side once a day at
secondary Effects: Explain night.
general It's easier to the medication's v. How and
convulsions remember to expected effect where to
(Jiang et al., take your meds as well as any consume the
2015) on a regular potential or medicine in
Docusate 100 basis if you predicted connection to
mg is equal to 1 understand negative effects meals: one full
capsule twice a seizures, with clients. It 8-ounce drop of
day orally therapy, as well will assist the water or juice is
Leveteracetum( as how to patient in recommended.
keppra) 100mg control your determining Possible side
equal to two episodes and whether or not effects include
capsules every drugs. Handling such a drug is dermatitis, low
two hours medications effective. It will electrolytes, and
Acetaminophen isn't simple, but also assist the increased bowel
(tylenol) 100 it is possible! patient in movement.
mg is equal to Consider it a identifying vii. Extra
two capsules collaborative undesirable side precautionary
every 8 hours effort effects which measures: drink
orally for pain encompassing may necessitate plenty of water.
(Jiang et al., his physician, treatment. Keep an eye out
2015). nurses, for any leakage.
pharmacist, Name and viii. Notify his
therapist, Characteristics prescriber of the
relatives, and : Rather than following
acquaintances, simply writing a symptoms and
as well as prescription, side effects:
himself. inform the dizziness,
 3

patient the vomiting, and

identity of the intestinal
prescription obstruction.
you're giving
and have them
say it.
Furthermore,
talk about the
dosage
characteristics,
such as its kind
(pill, fluid),
coloration,
weight, texture,
and form. Give
the client a
visual of the
drug if
applicable.

Patients can
recognize
whether their
pharmacist
makes an error
when
completing their
prescription by
taking these
additional steps.
Patients are
urged to double-
check their
prescriptions for
mistakes.
Clients are
urged to
communicate
with their
pharmacists if
anyone from a
completed
medication
seems to be
unusual from
what they read.

Laboratory Test or Diagnostic Procedure

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Lab Test or Why was Normal Patient WNL? Trends and

Diagnostic the Range Result High? Implications
Procedure test ordered Low? for this
for this client
client?

X An No known Alert and High The patient

Ray/Ultraso examination Interactions oriented X4. was brought
und: of the MRI still to the
Negative nervous pending emergency
result on X system. The room . The
Ray on the doctor will Non- patient had
left knee, on assess his laboured , no 10 seizures
left shoulder, behavior, accessory in the
right physical muscle used bathroom
shoulder, ability, and and lost
both knees, brain No edema, consciousnes
elbow and abilities to no evidence s. Patient is
both see if he has of cyanosis retaining
shoulders a brain or Urine and is
Others: brain and No nausea, incontinent .
Abnormal nerve disease no vomiting, Straight
labs : (Jiang et al., no diarrhoea catheter was
WBC: (L) 2015). taken out and
4.2 K/cumm Diagnostics Straight the patient
RDW: (H) on the blood. catheter has not
15.1% A blood revealed 500 voided since.
sample mbs plus A bladder
would be dysuria scan will be
taken by his done and put
doctor to in a straight
monitor your catheter if
blood the patient
glucose cannot void.
levels and
watch for
evidence of
illness,
genetic
disorders, or
electrolyte
abnormalitie
s.
Puncture of
the lumbar
spine. If your
doctor
 5

diagnoses an
ailment as
the reason
for his
seizure, a
specimen of
cerebrospinal
may have to
be taken for
analysis.

Assessment Nursing Goals Nursing Evaluations

& Diagnosis Intervention
Structural s
Variables

O2CO2 Emissions of Ineffective To improve Make sure A CT scan or

a quantum airway function, you have had an MRI can
particle evacuation improve the an oral detect a
Seizure foci caused by: quality of airway, tumor that
are identified infection, life, oxygen, and could be the
by CT blockage, encourage suction on source of a
scanning and mucous dealing, and hand. seizure
(SPECT) or in the enhance Maintain a (World
positron tracheobronc extenuating low stance Health
emission hial tube factors, to for his bed Organization
tomography Weakness decrease with the ).
(PET). and a lack of seizure armrests Emissions of
Cognitive energy occurrence raised a quantum
disorders are Trauma and intensity, (World particle
assessed in Thirst to improve Health Seizure foci
neuropsychol symptoms, to Organization are identified
ogical tests. enhance ). Think by CT
The reason quality of about putting scanning
for the first care, to some (SPECT) or
seizure is encourage cushioning positron
determined ability to between emission
by a blood cope, to them. Stay tomography
test for optimize with him if (PET).
electrolytes, extenuating he has a Behavioral
glucose, and factors seizure to disorders are
toxins. safeguard assessed in
If a him from neuropsychol
temperature harm and to ogical tests.
is evident, watch The reason
 6

lumbar seizure for the first

puncture and activity. seizure is
haematology determined
may be by a blood
required. test for
electrolytes,
glucose, and
poisoning.
If a
temperature
is evident,
lumbar
incision and
blood
cultures may
well be
required.

Physical The Seizures that The purpose This isn't No known

Integrity hemispheric are tonic- of true (Kane et Interactions
and lobes of clonic (grand medication is al., 2013).
seizure onset mal) in to identify Clinical
could be nature. the optimum signs do not
determined An aesthetic, treatment for support a
via including a you with the risk
semiology. weird feeling least side assessment
Placement to or dizziness, impacts because the
a long-term may (World issue has not
electroencep accompany Health yet happened
halography the Organization and nurse
(EEG) commencem ). In some treatments
surveillance ent of the circumstance are focused
facility is seizure, s, your on
usually which is doctor may prevention.
needed to followed by prescribe
characterize unconscious many
a client's ness. medications.
regular Stiff muscle
seizures tension with
(LTM). A clenched
surveillance jaws and
video of all wrists in
filmed tonic phase;
convulsions eyes wide
is compared open with
to the EEG pupil
to validate or enlarged;
disprove the will last 20
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epileptic to 45 second.
character of In the clonic
the stage, all
occurrence, muscle
and in lengthens
presurgical and releases
instances, to in a cyclic,
determine rapid pattern,
the with
hemisphere incontinence
(lateralisatio and foaming
n) and just at
cerebral lobe mouth; may
(localizers) bite tongue
of seizures or face; will
initiation last a few
minutes.
Over several
hours, you
may be
asleep or in a
bewildered
interictal
condition.

Ingestive When high No known No known In the case of The

amounts are Interactions Interactions camphor cytotoxicity
consumed, poisoning, of a
side effects there is no pharmaceutic
appear in 5– antidote al substance
90 minutes. available is
The (Kane et al., proportional
gastrointestin 2013). The to the dose
al system's patient is and route of
adverse given administratio
effects symptom n, and the
usually therapy. advantages.
appear 15–20 Washing is Since the
minutes after indicated in individual
consumption, the event of was
while dermatologic apparently
indications al exposure. healthy, had
relating to vomit and
the nervous recurring
system seizures
appear 30–60 following
minutes ingesting
later. The camphor, and
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majority of had
life- acceptable
threatening lab and
adverse radiographic
effects data, our
disappear situation was
within 24 classified as
hours, acute
although toxicity.
residual
symptoms
can linger for
days or
weeks.

Excretory High Electrolytes, Maintaining Fluids Insufficient

(fluid & antidiuretic especially adequate administered water usage
electrolyte) hormone sodium. ionic balance orally and Water loss is
(ADH) Once benefits the parenterally. extreme
concentratio disintegrated patient's Fluids (World
ns are caused in blood and blood administered Health
by a variety other body chemistry, orally and Organization
of fluids, muscle parenterally. ). Inordinate
conditions. electrolytes activity, as Varies in the bodily fluid
Improper bring an well as other central deficit
ADH electrostatic mechanisms. nervous caused by
production current and system sustained
disorder cause the (Kane et al., puking,
Deficiency of body to 2013). diarrhea,
the adrenal maintain perspiring, or
glands stable fluid respiratory
balance in problems.
the
interstitial
fluid since
the volume
of liquid a
chamber
contains
affects the
amount
(accumulatio
n) of
electrolytes
inside it.

Activity/Res Aerobic Get an oral To improve Allow the Suffocation/

t activity air passage, function, patient to Trauma
discharges oxidant, and improve the rest Threat
'relax and vacuum quality of adequately
 9

enjoy' pump on life, maintaining

hormones hand. his bed in a
into the Maintain his poor place
brain, keeps bed in a poor with armrests
your muscles place with raised (Kane
engaged, armrests et al., 2013)
lowers body raised. Think
fat intake, about extra
and increases fabric on
oxygen them.
supply to Remain with
your brain. It him if he
can also help does have a
deter seizure to
osteoporosis safeguard
by increasing him from
bone mass. harm and to
monitor
seizure
action.

Affiliative & Men with No known Whenever a Low Antiepileptic

Sexual epileptic Interactions seizure takes drugs
seizures are place, the (AEDs)
more likely primary aim could be
to have is to keep the used alone or
lowered person safe. in
sexual Attempt to conjunction
performance, avoid a fall. to improve
such as Place the efficacy, cure
sexual individual on blended
interest and the ground in seizure
achievement, a secure kinds, and
due to higher location. reduce side
sex Remove any effects.
hormone- items or even Renal and
binding other sharp hepatic
fibrinogen instruments disorder,
thresholds from the vision
and reduced vicinity. perturbations
biologically The patient's , tiredness,
active levels head should incoordinatio
of be cushioned n, anemia,
testosterone, (Clonazepam leukopenia,
especially ). platelet
when using Slacken count,
protease garments that psychiatric
antiepileptic are too tight, symptoms,
drugs particularly skin disease,
 10

(Clonazepam around the upset

). person's stomach, and
neck. eccentric
Flip the responses are
individual on all possible
his or her side effects.
side. If
vomiting
happens, this
aims to
guarantee
that the
puking does
not reach the
lungs.
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References
Ruston, T., Hunter, K., Cummings, G., & Lazarescu, A. (2013). Efficacy and side-effect
profiles of lactulose, docusate sodium, and sennosides compared to PEG in opioid-induced
constipation: a systematic review. Canadian Oncology Nursing Journal/Revue canadienne de
soins infirmiers en oncologie, 23(4), 236-
240.http://canadianoncologynursingjournal.com/index.php/conj/article/viewFile/88/96
Jiang, C., Xu, Q., Wen, X., & Sun, H. (2015). Current developments in pharmacological
therapeutics for chronic constipation. Acta Pharmaceutica Sinica B, 5(4), 300-
309.https://www.sciencedirect.com/science/article/pii/S2211383515000805
Kane, J. M., Kishimoto, T., & Correll, C. U. (2013). Non‐adherence to medication in patients
with psychotic disorders: epidemiology, contributing factors and management strategies.
World psychiatry, 12(3), 216-226.https://onlinelibrary.wiley.com/doi/full/10.1002/wps.20060
World Health Organization Epilepsy: Key facts. Available at:
www.who.int/mediacentre/factsheets/fs999/en Accessed June 7, 2010. [Google Scholar]
Clonazepam, prescribing information. Available at: www.healthyplace.com/other-
info/psychiatric-medications/clonazepam-klonopin-full-prescribing-information/menu-id-
72/#dosage Accessed January 29, 2010.