NURS 3012 Lecture Notes - Lecture 14: Fosphenytoin, Phenobarbital, Loading Dose
14 Sep 2017
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It is important to rule out these conditions before a diagnosis of epilepsy can be made: manifestations of epilepsy involve, altered level of consciousness. Involuntary movement: changes in perception, behaviour, sensation, posture, aura (smell, status epilepticus is a medical emergency, this is a seizure that lasts longer than 30 minutes, or successive seizures, without return to normal level of consciousness. If the drug is effective, but does not completely control the seizure, a second drug may be added: measurement of serum drug levels is very important. ** note that ketosis appears to control seizures. 90% in a third of patients and more than 50% in half of patients: vagus nerve stimulation is a therapy that can be effective, only used as adjunct therapy in children > 12 years with partial onset seizures. ** note that diazepam is incompatible with many medications.
