Epilepsy/Convulsions

Epilepsy/Convulsions

May feel ‘aura’ prior to seizure; usually starts with a ‘cry’ (diaphragm spasm)  collapse and momentary rigidity  uncontrolled spasmodic movements  cyanosis; loss of bladder and/or bowel control  remain in drowsy state after seizure

Immediate management:
Protect from injury (eg move furniture) or move away from danger (eg fire, water); allow seizure to run course  then check breathing  put in stable lateral position.
Do not attempt to restrain or place anything in mouth, but ensure airway is open.
If seizure lasts for >5 minutes or another occurs with raining consciousness  urgent medical attention.

Immediate medical management:
• clear airway  give oxygen (prevents cerebral anoxia)
• IV anticonvulsant (eg diazepam) if convulsions repeating or are continuous
• blood test for anticonvulsant levels if known as having epilepsy.

Comments are closed.