Seizures occur for different reasons, such as fevers, brain traumaÂ or neurological prolems. Nurses caring for patients who are at risk for seizures or who have disorders like epilepsy use certain nursing interventions to keep these patients safe and injury free.Â Nursing studentsÂ may need to answer questionsÂ about them on a nursing exam.
First interview the client
Its important to get certain information from the client that will help the nurse take better care of the client. Information like seizure history, how often the seizures occur, if there is an aura before a seizure, meical conditions that may lead to seizures or exacerbate their condition and what medicaton they are taking.
Check the clients area for potetntial safety hazards
Look around tyhe area for anything that could hurt the client if they happen to start seizing. After this, prep the area with seizure precautions.Pad the rails and head board with blankets, put the bed in the lowest position and position the client on their side if possible. Their attire should be loose, witha pillow under their head and the side rails up. ( not all the side rails should be up: that would be forced imprisonment)
Keep airway equipment close
A patent airway is important, if the client happens to start seizing.If the client has a history of seizures, then an airway, suction aquipment and pillows should be in the room so that if there is a need for them, they can be reached immediately.
What to do during a seizure
If a client starts seizing, the first priority is to make sure they dont get hurt by anything in the environment. SO first of all eaase them to the floor and clear the area. Dont restrain the client or force anything into their mouth, it could stimulate the gag reflex and may lead to aspiration. Stay with the client and observe the sequence in which the seizure occurs and the timing of it ( how long it lasts)
Know when it is an emergency
Status epiliepticus ( continuous seizure) is a medical emergency so for this one,the physician will need to be notified.
Know what to document
The following should be documented:
* How long the seizure lasted and the sequence of events that occured
* If any aura was present
* Level of consciousness
* Movement of extremities and
* Pattern of sleep after the seizure