Pathophysiology / Overview
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Signs and Symptoms
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Red flags requiring urgent ED/neurology escalation
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Nursing Assessment and Interventions
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Clinical Pearls
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Client Education
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Your exam focus
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Next steps
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NP Seizure Lesson
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Clinical frame
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Seizure types NP students must recognize
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Focal aware seizure
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Focal impaired-awareness seizure
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Focal to bilateral tonic-clonic seizure
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Generalized tonic-clonic seizure
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Absence seizure
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Myoclonic seizure
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Atonic seizure
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Immediate seizure response
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Status epilepticus
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NP priority sequence
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ABCs, oxygen, suction, lateral positioning
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Glucose check; give dextrose if hypoglycemic
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Review meds, pregnancy status, toxins, trauma, infection signs
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Lorazepam IV if access available
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Diazepam IV/rectal depending setting/protocol
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NP assessment after a seizure
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History questions
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Physical exam priorities
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Key seizure mimics
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Diagnostic workup
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Immediate
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Antiseizure medication levels when relevant
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Neurodiagnostics
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EEG
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Starting antiseizure medication
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Abnormal EEG
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Medication considerations
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NP prescribing cautions
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Broad-spectrum but major teratogenic/neurodevelopmental concerns
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Carbamazepine/oxcarbazepine
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Patient education and safety counselling
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