Nursing Management of Patients with Convulsion

Subject: Medical and Surgical Nursing I (Theory)

Overview

Convulsions disrupt the normal brain's electrical balance and can result in loss of consciousness, uncontrollable bodily movement, changes to behavior and sensation, and alterations to the autonomic nervous system. The age of a person has an impact on the causes of convulsions. CNS infections such as meningitis, encephalitis, malaria, tetanus, etc. are some of its causes. When a patient is convulsing, a nurse must take off any constricting clothing, take off their glasses, remove any potential hazards from their immediate environment, and stay with them until they feel better. After the seizure, avoid giving food or liquids until you are alert and your swallowing reflex has returned. Check your head and other body parts for any possible injuries.

Nursing Management of Patients with Convulsion

Convulsion is disturbawin normal brain fence resulting from abnormal electrical dischawin brain, which can cause loss of consciousness, uncontrolled body movement, change in behavior and sensation and change in an autonomic system.

Cause ofCconvulsion in Childhood

  • Early Neonatal Period
    • Birth asphyxia, difficult obstructed labour.
    • Interventricular intracerebral hemorrhage.
    • Hypoglycemia, hypocalcemia.
    • Maternal withdraw.
  • Neonatal Period
    • Hypoglycemia, hypocalcemia
    • Kernicterus
    • Meningitis, septicemia
    • Tetanus
  • From 1-3 years
    • Simple febrile convulsion,
    • Infection of CNS : bacterial meningitis, TB, encephalitis.
    • Post infect or post-vaccinal encephalopathy,
    • Space occupying lesion in the brain.
    • Epilepsy.
  • From 4 years to Adolescence
    • Infection of CNS: meningitis, encephalitis, malaria, tetanus.
    • Epilepsy,
    • Dehydration,
    • Hypertension,
    • Hysteria,
    • Family history,
    • Gead injury and trauma.

Nursing Management

During Seizure

  • Remain calm.
  • Keep comfortable, harm free position.
  • Loosen restrictive clothing, remove eye glasses.
  • Clear any hazard or hard object from surrounding.
  • Allow seizure to end without interference.
  • Stay with them until they feel well again.

After Seizure

  • Check breathing, keep in lateral position.
  • If no breathing, give rescue breathing,
  • Remain with a child.
  • Don't give food or liquid until fully alert and swallowing reflex has returned.
  • Check for any possible injuries on head and other body parts.
  • Check either tongue or lips have been bitten.

References

  • Mandal, G. (August 2013). A Textbook of Adult Health Nursing (2nd ed.). Dilllibazar kathmandu: Makalu publication house. Retrieved August 2013
  • nurseslabs.com/4-seizure-disorder-nursing-care-plans/
     
  • nursingcenter.com/journalarticle?Article_ID=715092
     
Things to remember

 

  • Convulsions are disturbances of the normal brain's electrical fence that lead to loss of consciousness, uncontrolled bodily movement, changes in behavior and sensation, and alteration of the autonomic nervous system.
  • causes might vary according on the phases and ages.
  • Maintain a safe and comfortable position.
  • Wear less constrictive clothing and take off your glasses.
  • Verify your body to see if there are any possible head or other injuries.
  • Verify whether the lips or the tongue have been bit.
  •  
Questions and Answers

 

Cause of Convulsion in Childhood

  • Early Neonatal Period
    • Birth asphyxia, difficult obstructed labour.
    • Interventricular intracerebral hemorrhage.
    • Hypoglycemia, hypocalcemia.
    • Maternal withdraw.
  • Neonatal Period
    • Hypoglycemia, hypocalcemia
    • Kernicterus
    • Meningitis, septicemia
    • Tetanus
  • From 1-3 years
    • Simple febrile convulsion
    • Infection of CNS : bacterial meningitis, TB, encephalitis.
    • Post infect or post-vaccinal encephalopathy
    • Space occupying lesion in the brain.
    • Epilepsy
  • From 4 years to adolescence
    • Infection of CNS: meningitis, encephalitis, malaria, tetanus.
    • Epilepsy
    • Dehydration
    • Hypertension
    • Hysteria
    • Family history
    • Head injury and trauma.

 

 

Nursing Management

During Seizure

  • Remain calm.
  • Keep comfortable, harm free position.
  • Loosen restrictive clothing, remove eye glasses.
  • Clear any hazard or hard object from surrounding.
  • Allow seizure to end without interference.
  • Stay with them until they feel well again.

After Seizure

  • Check breathing, keep in lateral position.
  • If no breathing, give rescue breathing,
  • Remain with a child.
  • Don't give food or liquid until fully alert and swallowing reflex has returned.
  • Check for any possible injuries on head and other body parts.
  • Check either tongue or lips have been bitten.

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