Seizures (Epilepsy) Nursing NCLEX: Tonic-Clonic, Generalized, Focal, Symptoms
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- เผยแพร่เมื่อ 1 มิ.ย. 2018
- Seizures (epilepsy) in nursing - NCLEX review: learn about generalized vs focal (also called partial) seizures, as well as the different types and stages of seizures. Seizures occur when abnormal electrical signals are fired by neurons in the brain.
Generalized seizure types can include tonic-clonic seizures (formerly known as grand mal seizures), petit mal seizures, absence seizures, myoclonic seizures, tonic seizures, and clonic seizures.
Focal seizure types (formerly called partial seizures) can include the following: focal onset aware seizures (also called simple partial seizures) and focal impaired awareness (also called complex partial seizures).
Seizures can occurs in anyone (children and adults) due to a severe acute condition, such as a high fever, illness (especially central nervous system types), hypoglycemia, acidosis, alcohol withdraw etc. Once the condition is corrected the seizures tend to stop.
What is epilepsy? Epilepsy is when a patient experiences frequent seizure activity due to a chronic condition. This can be from a massive stroke, traumatic brain injury, congenital defect, effects of a central nervous system infection etc.
Types of generalized seizures:
Tonic-clonic (formerly called grand-mal): the patient loses consciousness and the patient may experience an aura (warning sign) before the seizure. Then the patient will experience: tonic episode: body stiffens (may bite the inside of the cheek or tongue, cry out, and experience apnea), and this is followed by the clonic episode, which is recurrent jerking of the extremities. The patient may have incontinence as well. The post ictus stage can take hours to days, and the patient may report feeling very tired, sore, have a headache etc.
Absence (petit-mal): most common in children. Hallmark is staring (patient may appear to be daydreaming). This type of seizure is very short and may go undetected by others. The post ictus stage is immediate recovery.
Atonic (drop attacks): this is complete loss of muscle tone. The patient will suddenly lose muscle tone and is at risk for head injury. Patients should be advised to wear a helmet with this type of seizure.
Myoclonic: this is jerking of the muscles. The patient is aware of their surrounding during this type of seizure.
In addition, patients can experience just a tonic or clonic seizure.
Focal (partial) seizures:
Focal Onset Aware (simple partial): the patient is AWARE of their surroundings during the seizure. The signs and symptoms vary due to the specific location of the brain being affected. For instance, some patients may experience vision changes if the occipital lobe is being affected. The seizure is very short and the post ictus stage is immediate. This is sometimes referred to as an aura, and can happen prior to a complex partial seizure (focal impaired awareness).
Focal Impaired Awareness (complex partial): this is different from the other type of focal seizure because the patient is NOT aware of their surroundings and will experience motor symptoms (automatisms). Automatisms are movements performed by the patient that they are don't know they are performing, such as hand rubbing, smacking of the lips, grasping for an object that isn't there.
Nursing interventions for seizures (watch the video for an in-depth review of the interventions): assess for risk factors and seizure history, helping the patient prep for the seizure by lying the patient on their side with a pillow under the head, initiate seizure precautions, educating about seizure triggers, timing the actual seizure and noting its characteristics, administering anti-seizure (AEDs) etc.
This lecture also includes information on the following nursing interventions and management:
-EEG scans for seizures
-Vagus nerve stimulation
-Anti-seizure (anti-epilepsy) medication
Free NCLEX Quiz on seizures: www.registerednursern.com/seiz...
Notes: www.registerednursern.com/seiz...
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Just a patient here. To me, this is thus far the best get it together information I've had found on TH-cam. That means it's serious. She knows what she's talking about and knows how to teach. My admiration and respect.
Absolutely very helpful. ☺
Well explained your my idol
I was on the verge of failing my critical care course but then I remembered your videos and took notes off your lectures & took your quizzes. Then studied them alongside the teachers PowerPoints. I went from my last exam 70% to this exam a 94%. You brought me up to a passing grade!! Thank you!!
Thank you for this information. I’m a 34 year adult and recently diagnosed with tonic-clonic seizures and I’ve gotten more information from this video than I did from the neurologist. Thank you.
Hi Sarah!! I hope you still remember me haha but I wanted to come on here and tell you I found out today I passed my NCLEX and am officially an RN!! I have to thank you for supplying these awesome videos to us because they helped me SO much throughout nursing school and while I was studying for the NCLEX! I will always recommend you and appreciate the hard work, detail and time you put into these videos! 😊 God Bless!
Hello Miranda Millz RN!! Of course I remember you!! Congratulations!! I'm SO happy for you. You have been watching my videos for several years now, and it is very AWESOME to hear you are a nurse now!!! Thank you for always being so kind with your other comments you have left throughout the years and the tweets. I'm glad I could help you throughout nursing school and prep for NCLEX. I wish you the best in your new career as a nurse. I pray that God guides you and that you touch so many lives during your time as a nurse. Again, congrats Nurse Miranda :)
RegisteredNurseRN thank you So much!! You are such an amazing educator and I can't imagine how incredible you are at the bedside! My goal is to be an educator someday as well! You are always an inspiration to me! 👐 I am heading out west to start my career so a brand new adventure ahead!
CONGRATS!!!! I know you worked very hard. I will be graduating in May! Sarah is INCREDIBLE!! She truly is a god send, she is getting me through my nursing program as well! Enjoy your well earned career as a RN!!!!!
Being the visual learner that I am your videos are extremely helpful. watch them more than I read nursing books and when I do read books in summary it is basically the same thing. Thanks much.
Thank you for all the information your videos are helping me a lot. God bless you
It's true, I have had several generalized tonic-clonic seizures and I always get an aura a few minutes or seconds before it happens. Thank God my family and friends are always around and know what to do. Usually now its to the point that when I get to the aura state I am able to relax myself and prevent the seizure all together :) My seizures are idiopathic but I have faith the will go away all together.
I’m back as a New Grad! I’m starting on a pediatric neurology, neurosurgery, and plastic surgery unit. We are designated as a Level 4 Epilepsy Center.
Your videos teach the most important basics, including patho, diagnosis, and interventions, providing a great foundation. I don’t think I’ll ever quit watching your videos.
Hi Sarah., i would like to say THANK YOU so
Much for all your videos. I graduated from college for almost 10 yrs. i honestly forgot about a lot of things even simple medical terms. Reading books, reviewers were really struggle for me. Until i found your videos on youtube. I was really amazed that i easily understood and remembered your lectures even the pathophysiology. So i decided to watch all of your videos. It helped a lot. YOU helped me. I just recently PASS my nclex and i wanted to share this to you. i will be forever thankful to you. I recommended your channel to my friends and colleagues. Pls continue to be an inspiration and a blessing to everyone. Thank you again sarah and God bless.
thank you for the info... i lost my bf unexpectedly to a seizure. He never told me he had seizures... it is nothing to be ashamed of for those of you who have them. this is a good source of info
my condolences.
Thank you I have grandma seizures when I was nine and I still have them but thanks❤️🔥❤️🔥❤️🔥
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Just Passed my NCLEX RN :) Thank you Nurse Sara for helping me through LVN School and RN School and helping me pass NCLEX. I pray Jesus Blesses you and your family. Thank you so much. You helped me to really learn the content. I could not have done it without you. I spent so much time reviewing your videos even my children and husband know you lol.
YOU ARE SAVING MY LIFE IN NURSING SCHOOL DURING COVID-19!!!! I am unable to load my teachers lectures due to the kiddos being home and the internet bandwidth being used up. You are such an amazing teacher. Thank you for all that you do!
This was god sent! What a Wonderfully educational video for us first timers!🙏🏼 My daughter (17), has always suffered from Absent seizers since she was 4-years old but just recently (July 1, 2021) she had her 1st Grand-Mal (Tonic-Clonic) and was found face down, unconscious, and jerking in my mothers driveway! SCARIEST DAY OF MY LIFE! She also suffers from autism and a learning disability. So this is now added to our list of huge concerns. She has her 1st appointment Aug.30th to go over everything and possibly adjusting her current seizer meds. I pray we can control these with proper medication adjustments, because as of now I have not slept a full night, and my poor baby wants her independence back!!🙏🏼😔 She already knew she probably wouldn’t ever be able to drive, but we were so excited that she was just coming up on 6-months (absent) seizer free, then this!!☹️ I also have her starting counseling, because her stress and depression levels have since sky rocketed.
Sorry so long, but just wanted to say “Thank you, Thank you THANK-YOU!!🥰🙏🏼
Five months ago I hit my head on the corner edge of my desk. I was extremely stressed out from college. I lost a lot of sleep trying to complete my algebra assignments throughout the semester and the last few hours after graduation . The accident kept me in the hospital ICU for a few days after I remembered the last thing I did before the seizure. I had my head scanned and the hospital radiology found a blood clot that had to be removed through IV and widening my veins to flush it out. This video is very informative! I am taking Keppra and I haven't had any seizures. I still have memory loss and still recovering from mild traumatic brain injury.
From an epileptic diagnosed at 18, with grand mal seizures, I usually skip the 1st phase, mine are set off by stress/lack of sleep, I enter the "aura" stage 1st, which I can feel for hours or a whole day before a seizure, it makes my brain feel "off", like I'm not all there, I never lose my bowls or vomit during my seizures, and unless I really knock myself out, I can recover thoughts within minutes, so yes, every epileptic is different! Ty for making this video to help ppl understand
Just had a patient like this recently. This video helped me get short minute clues to look for while i was preppring my work for the day
My 90 years old uncle has twice today. He is good now. Thank you for sharing and very helpful. ❤❤❤
I've recently started having seizures and watching you explain it is really reassuring.
I have seizures to
Same
Same
Best of luck to you. Hope they get them under control. I know what it’s like. Been there.
I love your videos! Started watching my first year of college and now I’m watching about to graduate in a few months, thank you for your help!!
I am not a nurse but my daughter has been diagnosed with absence seizures. You gave a thorough presentation that helped me greatly. Thank you.
Thank you so much. I had a tonic clonic seizure this morning. My ER doc and nurses were amazing 🙏🏼.
Hey Sarah, I just want to say I'm so happy that you decided to do this. I passed my NCLEX this morning in 92qs and the last one was a phenytoin question in which I instantly knew the answer because I had watched this video the day prior. I had this vid on in the background, not gonna lie, but when I clicked the answer, KNEW it was correct, and then the test ended, I smiled in a way I never had before. Thank you! You are helping people with this.
Nurse here needing refreshers from time to time. You're amazing!!
My older brother that took care of me as a baby while my parents neglected us has Grand Mal seizures frequently and he also has a bone density disease so ANY and EVERY time he has a seizure it during the day and he ALWAYS breaks sever bones in his body. No doctors have even tried to help him with his problems directly related to seizures. Seizures are a scary thing to witness especially when it’s happen to the person you care about most. I worry about losing him every day, I hope anyone dealing with seizures only has the best of life. It’s so limiting to some people. I wish he’d stop having them one day randomly just like how they came on to him when he was 18.
I am a caregiving student and my assignment is to make a powerpoint and case presentation about seizure and epilepsy you saved me, thank you!
you are doing God's work!!! Helping us through nursing school. Thank you so much.
Fantastic presentation!!!.👏🏾👏🏾👏🏾👏🏾Post ictus " they wanna sleep" the patient usually WILL FALL ASLEEP after a grand mal
Thanks so much! I have learned not only lots of material from you but also some excellent teaching methods on how to explain this topic (and others) to students.
Your videos are gold. Passed NCLEX today with uworld and your videos. Thank you!!
I’ve had epilepsy since I was born , I’m now 67 , I have had over the years different types of epilepsy , so I recognise many , from people telling me ,Now I main.y have Tonic colonic , and it’s mainly under control 🙏. But this Doctor has explained so much THANKYOU I’ve saved this video , as I’m most likely to forget watching it . This could help my family , and many other families across the world again a huge THANKYOU ❤️👍
This video is incredibly insightful & easy to understand. I watched this video because I suffer from epilepsy and wanted to know more about the specifics of the disease. Sarah does a great job in explaining WHY seizures occur and how people can help other when they are having a seizure. Thank you!!
You are truly a god send!! I LOVE your videos, they are getting me through nursing school! My instructor actually recommended your videos, but I have been learning you from since I got in the program. Thank you so much!!
I've been doing my clinicals at TB wing unit and everything is just so accurate. Thank you so much, very organized and easy to grasp.
Very good Info. I have had seizures, gran-mal most my young adult life. They started when I was 8 with the last when I was 26. This was a great video and you gave a procedure for the ones helping the person having a seizure ie school teacher, coach ect. This procedure you touched on, but I believe needed more emphasis as to help a young persons mental health.. As a young person the absolute worst part of a seizure was when you came out and there were 10-15 onlookers. I started calling them the OH-OH squad. At a young age it really compounds the situation when your comming out of the fog and you have so many onlookers. I heard one girl say "Look he pee'd his pants." Nothing like building a young persons esteem. Have one to help the person and one to keep everyone else away. Thank You All
Medical student here! Your videos are excellent, just enough information to help students/patients/healtcare providers.
It's like you knew I had a test on this material this upcoming Monday! Thank you so much!
Many thanks Sarah.Your videos are so detailed. May God bless you.
Very informative, direct and pleasantly easy to understand. Great job!
I’m just here as a new patient trying to understand what’s happening to me. Thankyou from the bottom of my heart! Much love and gratitude from a dual nationality Canadian Brit living in the UK with a bit of a wonky brain 😁
I am a patient and this is so far the best knowledge I have received .-Thank you ❤️❤️
Thank you Sarah. I’m never understood nursing until now
Wish I had a better neurologist. Been having 3-4 seizures a month for 3 years. And now after seeing a new doctor and her learning about my headaches has completely refused to do any tests to find out why I'm having seizures. She is just hyper focused on my headaches.
I've been having seizures longer then I've had headaches. No one can tell me why I've suddenly started to have seizures at 27 and no treatments are working to stop them. They have only gotten worse. Headaches are just a new symptom after 2 years of seizures.
Wao !!! This is GREAT, no wonder a good friend of mine that just passed her nclex recommended your channel to me. In fact, even if I don’t read seizures before my exam, I can boast to answer reasonable questions on this. Thanks Sarah. I shall watch all ur videos before my nclex, God help me.
These are absolutely fantastic videos, I understand the content sooooo much better from these videos than in the very basic videos my uni provides. Thanks so much for helping me get to my final nursing exams!
Thank you so much for this information. Perfectly describes my personal and recent experience of epilepsy and has helped me through my recent post ictal spell.
Thank you so very much for your information as a music therapist I serve many with seizure disorders due to head injury
Thanks for the video it’s very helpful for a parent to understand the bigger picture on this matter to be able to care well for the child. Thank you you are a great teacher
Hi, Sarah! Thanks for this video, it helps me a lot for our local board exam this coming 2023 of May, I always watch your videos and hopefully I can pass it.
I watched your videos all throughout nursing school and have found my way back as I transition from a med surg unit to an epilepsy clinic. Your content is so easy to understand and thoroughly covers the topic. Just wanted to say that I appreciate all the work that you are doing and thank you!
Nursing student here from Western Australia (hey!)... getting through nursing school one step at a time because of RN Sarah youtube channel.
Thank you so much for your video 😊 it's very informative and at the same time easy to understand. Looking forward to more videos from you 👍
My 23 year old son was just diagnosed as epileptic. I’m listening attentively.
I was diagnosed at 24. It is scary as hell, and you are going to mourn the life you thought you were going to have, because so much has changed. The best thing you can do as a parent is to get knowledge about his illness, be supportive and by your actions show him, that life goes on. It sounds like he has a great dad at a bad time.
Searching for a topic in you tube and finding your videos is such a relief....love you
Thank you for these videos! I’m a new nurse on a neuro floor and it’s a good refresher from things I don’t remember from school.
Nice
Thank you so much. Sarah. You don't understand how much you help.
I always look forward to and appreciate your videos!! Thank you for making them! :)
Love this ! I am wondering if you can do a NCLEX review video of the mental health drugs you need to know for NCLEX?
Hey, Sarah! Thank you so much for these videos, you're really helping me with my nursing college, btw the rule of nine's video was very helpful to do my homework. Shout out from Brazil 👏
Thank you so much Sarah I did good on my exam because of you!
Best teacher ever!! This topic is more complex than I thought prior to learning it.
Nurse Sarah, you are such a God-send! Your videos have helped me so much in nursing school!!
Seriously Thank You for all of your videos. It really helps me a lot in Medschool. It's really helpful. THANK YOU SOO MUCH
Great video! Very informative and detailed . Your videos have helped me so much. ❤️
watching all your videos for my next neuro-med surg exam!
💜thank you for your insight and support , purple suits you ! Genuinely appreciate the thought that not all weman are afraid of a fight! To bad we live in an age we’re driving a car is appreciated then going out for a walk! May god bless you and your marriage!
Awesomely informative and perfectly explained! Thank you so much! 😊😊 30/7/2019
Thank you so much for the teaching! Im a very experienced RN , what great review these are for me. I appreciate your clear explanations and Knowlege base. Keep it up please!😊
I use your videos for my nursing school because I'm trying to blossom into fulltime nurse
My Coronavirus lecture! Thank God for you!
My teacher has epilepsy and she turned the lights on and off and laughed, it was like she was trying to make us laugh, and you are sooo pretty!
Excellent teaching, just wow... thank you
Well thank you so much! Sometimes the lecturers make it complicated, as if they throw in a crossword puzzle and you have to go and look up every written term! ❤
Excellent video! Thank you for sharing (from Kansas city)
Thank you doc...... This makes me understand epilepsy and seizures way too easy.....
My last seizures were January 31st where I was hospitalized for 3 days and it took 3 days to move my right arm and hand so weak I couldn't move to my right,I bit my ,lip and tongue,it took days to get my senses of smell and taste back along with steady standing and walking
Reading these comments I'm shocked to see how common seizures are. Just wondering are those with this condition allowed to drive? Curious to learn more about lifestyle changes that need to be made outside the hospital setting
I'm epileptic (found out at 17, currently 32), it really depends on the type of seizures we have. If they are random/uncontrolled w/ medication then they are NOT allowed to drive (doesn't mean they won't) if we have a random break through seizure, then we have to go seizure free for 6mos. Each state has different rules though, where I am, it's the 6mos seizure free before we can drive again.
But if our seizures are totally controlled, we can do everything normally :)
I’m an Epileptic that had a seizure while driving. If I had not recognized the feeling of the Aura and pulled over I probably would have crashed and not only died but possibly killed another.
same here at night too
I don't go swimming one time because I felt one coming. Then I had a seizure.
Didn't *
It's good to know about seziures
I struggle with a lot of mental health issues and I receive ECT therapy, which has been working incredibly well. I decided I want to go to nursing school, and these videos have been super helpful :^)
who here is watching registered rn videos during quarantine 🙋🏻♀️
I subbed
🙋♀️
I get a home sick feeling before I have a seizure and people at Cosmo learning center say that my seizures are not real because I can feel them coming
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Thank you so much, your videos are brilliant!
One day I wanna met you n say thank you so much
Thanks, Sarah!! Will it be possible to post some videos about ICU nursing, like mechanical ventilation, advanced haemodynamic or renal therapy. I found you explained everything in very simple ways, it helps me understand and remember them easily. Keep up your work!!! I have recommended you to all my nursing friends.
Awesome explanation , thank you soooo much as I am studying for my enclex exam :)
Thank you for ths information. I experience seizure during night & feel stress.
You're amazing. Keep it up, nurse.
Med student here. Youre the best
Thank you so much on this one. Can you also do lectures on mental health. Your lectures are improving my grades in nursing school. Thank you once again.
thank you for information it really helps
thank you for this video because i learned a lot about the diff.type of seizure and its name...
Hello I have a strange story but it’s worth listening too, I started having funny feelings which I now know were auras , I had about twenty of them, they started in my stomach and traveled up to my nose into my head, it was like a hot feeling , followed by a euphoric rush and then dajavu feelin and confused afterwards , this went on for 3 to 4 months but being a guy I never saw a doctor , I was also suffering bad headaches mainly on the left side temple , in April I went to bed and was found barely breathing , I’d had a chronic tonic in my sleep and luckily was found in the nick of time heli meds rushed me to hospital, I remember waking up in the night with an awful headache and it made me vomit which was a first, mri eeg came back normal, I got diagnosed with epilepsy, chronic tonic , partial and focal and migraines and cluster headaches, now this is where it gets interesting, on my left side , canine tooth , the tooth next to it has always had a hole that goes straight up but it never caused me any pain, the headaches got much more severe , my eye socket temple head were so sore to the touch, saw the doctor , it’s just cluster headache she said, take your toppimax as prescribed, I was in so much pain,also my cheekbone hurt but there was no pain from the tooth, then I started having pain so I saw a dentist, she said are you sure it hasn’t been hurting for a long time because the nerve is exposed, I said no , just 3 days , since she filled it the headaches have stopped completely, none , could this have caused my seizure , my epilepsy, so bizarre, it was like a switch , I had headaches everyday , the pain was so bad that they diagnosed cluster headaches, just goes to show that maybe I don’t have epilepsy and it was a poxy tooth that caused my seizure and all those auras and headaches
I had a seizure while I was driving on the freeway with my daughter in the back seat. My girlfriend in the passenger seat had to grab the wheel, get my foot off the gas and pull the E-brake. She thought I was just messing around at first until she saw me foaming from the mouth. I broke my own back from that seizure and had to get an emergency spinal fusion. Bad times.
Love you soooo much RN i watched this video before a class presentation and totally aced it
I just wanted to say as someone with epilepsy and possibly ms that your videos are awesome. Definitely more informative than any other source I've found online.
Keep making these videos!
This was excellent! Thank you very much!
this is excellent
thank you Sarah , you really made it clear !
Well I have had epilepsy for almost 12 years i was diagnosed in middle school when i got a seizure random as hell but good thing it was summer so i happened at home.. But now I've been taking meds so it's been controlled I've been seizure free for almost 3 years now
Thank you for your video.
You always suprise me by new video I love her video i am learning more from her video thank you
Thank you soooooo much ...this was very clear. And your notes are clearly understandable. Wowww what a good teacher...God bless you Sarahhh... much love from SRI LANKA...