...Seizure Precautions for Pediatric Bedside Nurses Over the course of their careers, many inpatient pediatric nurses will care for a patient with seizures or who is at risk for seizures. Although often anxiety-provoking, the fear can be diminished by thinking critically about each child’s seizure. The nursing management of pediatric seizures, for which patient safety is the priority, should be driven by the clinical presentation of the child’s event. This article will present an algorithm to assist bedside nurses in safely caring for children with a variety of seizure types. The algorithm can be used as a road map to assist staff nurses in safely and appropriately stocking patients’ bedsides with emergency equipment as needed for children with seizures. However, to understand the clinical symptoms of a seizure, it is important to first review basic pathophysiology and seizure classification. What Is a Seizure? Seizures are a common neurologic disorder of childhood, and many pediatric nurses will care for children with epilepsy during their careers. The term “seizure precautions” is used frequently in nursing practice; however, its definition varies among institutions. Childhood epilepsy has many phenotypes, and while some children require airway clearance and ventilatory support in the event of a seizure, many will not. The bedside equipment for a child with seizures should reflect the patient’s symptoms. To that end, an algorithm based on seizure classification and current...
Words: 1256 - Pages: 6
...independence, and their jobs. Depending on the disorder and severity determines treatment options that can affect the person financially. With today's medicine, technology, and resources people can manage and live a life. Learning to live with a chronic disorder can be emotional and takes time to accept. Millions of people worldwide live with epilepsy. One in twenty-six will develop epilepsy. The causes are unknown in two-thirds of patients. This neurological disorder causes a disruption in brain cells, which can cause seizures, sensations, unusual behavior, or loss of consciousness. Epilepsy treatment depends on the severity and frequency of seizures, a person's overall health, medical history, and age. These treatments may include medication, diets, surgery, epilepsy devices, and epilepsy first aid. A young woman, Nichole was nineteen years old, and just completed an emergency medical technician (EMT) school when she had her first grand mal seizure. She had to learn about and how to live with this disorder. As a way to help herself and others, she began posting videos titled Nichole's epilepsy on youtube.com: https://www.youtube.com/channel/UC1BIjErzoq8oH9apq_DPpiw. She shares her feelings of depression and the loss of her independence. Over time, she found a way to focus on what epilepsy has given her such as advocacy, the realization of her support system and the kindness all around her. Though she discusses her loss, she has not allowed it to keep her from having...
Words: 1120 - Pages: 5
...------------------------------------------------- Midterm Review PT-16 Studyguide 1. ABC approach: A= antecedent, B=behavior, C=consequence * Preventative approaches * Attempts to alter antecedents * Seeks to understand the purpose of function of the behavior * Behavior is presumed to have some reinforcing function 2. Acquired disorders: due to an injury. 3. Akathesia: A syndrome characterized by an inability to remain seated, with motor restlessness and a feeling of muscular quivering; may appear as a side effect of antipsychotic and neuroleptic medication. 4. Asymmetric tonic neck reflex (ATNR): A primitive reflex, also called fencer’s response, found in infants, usually is no longer evident by 3 months of age. When neck is turned in one direction, the arm shoots out on the same side and flexes on the opposite side; similar changes occur in the legs. 5. Athetoid diplegia: A form of cerebral palsy primarily seen where there is no muscle control in which the legs are more affected than the arms. 6. Athetoid hemiplegia: A form of cerebral palsy which is a form of dyskinetic cerebral palsy associated with athetosis (constant random, writhing involuntary movements of the limbs. One side of the body is more affected than the other; usually, the arm is more affected than the leg. Because the motor neurons that control one side of the body are located in the opposite cerebral cortex, a right-side hemiplegia implies damage to or dysfunction of...
Words: 2892 - Pages: 12
...9883616 HIGHLIGHTS OF PRESCRIBING INFORMATION These highlights do not include all the information needed to use GARDASIL safely and effectively. See full prescribing information for GARDASIL. GARDASIL [Human Papillomavirus Quadrivalent (Types 6, 11, 16, and 18) Vaccine, Recombinant] Suspension for intramuscular injection Initial U.S. Approval: 2006 --------------------------- RECENT MAJOR CHANGES --------------------------Indications and Usage (1) Girls and Women (1.1) 12/2010 Boys and Men (1.2) 12/2010 Limitations of GARDASIL Use and Effectiveness (1.3) 04/2011 ----------------------------INDICATIONS AND USAGE ---------------------------GARDASIL is a vaccine indicated in girls and women 9 through 26 years of age for the prevention of the following diseases caused by Human Papillomavirus (HPV) types included in the vaccine: • Cervical, vulvar, vaginal, and anal cancer caused by HPV types 16 and 18 • Genital warts (condyloma acuminata) caused by HPV types 6 and 11 And the following precancerous or dysplastic lesions caused by HPV types 6, 11, 16, and 18: • Cervical intraepithelial neoplasia (CIN) grade 2/3 and Cervical adenocarcinoma in situ (AIS) • Cervical intraepithelial neoplasia (CIN) grade 1 • Vulvar intraepithelial neoplasia (VIN) grade 2 and grade 3 • Vaginal intraepithelial neoplasia (VaIN) grade 2 and grade 3 • Anal intraepithelial neoplasia (AIN) grades 1, 2, and 3 GARDASIL is indicated in boys and men 9 through 26 years of age for the prevention of the following diseases...
Words: 4011 - Pages: 17
...INTRODUCTION Review of Related Literature Pneumonitis Pneumonitis is a general term that refers to inflammation of lung tissue. It occurs when some irritating substance – solid particles, liquids, gases, radiation or bacteria – cause the tiny air sacs to become inflamed. This can hamper the exchange of oxygen and carbon dioxide in the air sacs. Pneumonia is one type of pneumonitis caused by an infection. There are several types of pneumonitis. They include: • Aspiration pneumonitis- occurs when you inhale (aspirate) foreign matter into your lungs. Stomach contents, such as ingested food or liquid, are a frequent cause of aspiration pneuomonitis. Accidental inhalation of small particles, such as tiny pieces of peanuts or vegetables, while swallowing is common in young children. • Chemical pneumonitis- is a type of aspiration pneumonitis that develops when you inhale chemicals that are toxic to your lungs. Industrial and household chemicals, such as chlorine gas, ammonia, solvents and pesticides can all cause chemical pneumonitis. • Hypersensitivity pneumonitis- is nicknamed “farmer’s lung,” “mushroom picker’s disease” and other colorful names with good reason. Dust from animal dander, molds and plants, all potential allergens, can provoke an inflammatory reaction in your lungs. Symptoms usually develop within six hours of exposure to the allergen. Some people are more susceptible to developing hypersensitivity pneumonitis than are others, although it’s...
Words: 10402 - Pages: 42
...Running head: CASE STUDY LS Mental Health Case Study LS Nicole Castro College of Southern Nevada Division of Nursing Mental Health Nursing Clinical NURS 243C-S10 Micki Lin Mongogna-Alarcon, MA, BSN, RN October 18, 2010 Mental Health Case Study DM Demographic Data: LS is a 44 year-old female of African and Hispanic decent. She was born in California but moved to Las Vegas as a teenager. She stated that she attended Clark High School and went to a “stewardess college” in California. She worked as a stewardess for 4 years and quit in 1986. Her father was African-American and her mother is Hispanic. She has 4 brothers and 2 sisters. She is married and lives with her husband and his son in their private home. She has two children, fathered by her ex-husband, who are now in custody of LS’s mother. Her children were taken away from her, by the court, due to her abuse of drugs and alcohol. LS stated that her father abused alcohol and that all of her brothers and sisters abused drugs and were diagnosed with bipolar disorder. LS stated that she started noticing symptoms of what she thought was depression 6 years ago but was diagnosed with bipolar disorder in 2005. Her chart stated that she has had an 11 year history of bipolar disorder. Presenting Problem: LS stated that she had not been taking her medications for four days because her husband forgot to pick up her medications from the pharmacy. However, her chart stated that she was off of her medications...
Words: 7435 - Pages: 30
...Clinical guidelines Diagnosis and treatment manual for curative programmes in hospitals and dispensaries guidance for prescribing 2010 EDITION © Médecins Sans Frontières – January 2010 All rights reserved for all countries. No reproduction, translation and adaptation may be done without the prior permission of the Copyright owner. ISBN 2-906498-81-5 Clinical guidelines Diagnosis and treatment manual Editorial Committee: I. Broek (MD), N. Harris (MD), M. Henkens (MD), H. Mekaoui (MD), P.P. Palma (MD), E. Szumilin (MD) and V. Grouzard (N, general editor) Contributors: P. Albajar (MD), S. Balkan (MD), P. Barel (MD), E. Baron (MD), M. Biot (MD), F. Boillot (S), L. Bonte (L), M.C. Bottineau (MD), M.E. Burny (N), M. Cereceda (MD), F. Charles (MD), M.J de Chazelles (MD), D. Chédorge (N), A.S. Coutin (MD), C. Danet (MD), B. Dehaye (S), K. Dilworth (MD), F. Fermon (N), B. Graz (MD), B. Guyard-Boileau (MD), G. Hanquet (MD), G. Harczi (N), M. van Herp (MD), C. Hook (MD), K. de Jong (P), S. Lagrange (MD), X. Lassalle (AA), D. Laureillard (MD), M. Lekkerkerker (MD), J. Maritoux (Ph), J. Menschik (MD), D. Mesia (MD), A. Minetti (MD), R. Murphy (MD), J. Pinel (Ph), J. Rigal (MD), M. de Smet (MD), S. Seyfert (MD), F. Varaine (MD), B. Vasset (MD) (S) Surgeon, (L) Laboratory technician, (MD) Medical Doctor, (N) Nurse, (AA) Anaesthetist-assistant, (Ph) Pharmacist, (P) Psychologist We would like to thank the following doctors for their invaluable help:...
Words: 86687 - Pages: 347
...Praise for The Spirit Catches You and You Fall Down “Fadiman describes with extraordinary skill the colliding worlds of Western medicine and Hmong culture.” —The New Yorker “This fine book recounts a poignant tragedy…It has no heroes or villains, but it has an abundance of innocent suffering, and it most certainly does have a moral…[A] sad, excellent book.” —Melvin Konner, The New York Times Book Review “An intriguing, spirit-lifting, extraordinary exploration of two cultures in uneasy coexistence…A wonderful aspect of Fadiman’s book is her even-handed, detailed presentation of these disparate cultures and divergent views—not with cool, dispassionate fairness but rather with a warm, involved interest that sees and embraces both sides of each issue…Superb, informal cultural anthropology—eye-opening, readable, utterly engaging.” —Carole Horn, The Washington Post Book World “This is a book that should be deeply disturbing to anyone who has given so much as a moment’s thought to the state of American medicine. But it is much more…People are presented as [Fadiman] saw them, in their humility and their frailty—and their nobility.” —Sherwin B. Nuland, The New Republic 3/462 “Anne Fadiman’s phenomenal first book, The Spirit Catches You and You Fall Down, brings to life the enduring power of parental love in an impoverished refugee family struggling to protect their seriously ill infant daughter and ancient spiritual traditions from the tyranny of welfare bureaucrats and intolerant...
Words: 134140 - Pages: 537
...Anthropology Lecture 1 introduction Common Misconceptions with Drugs . The effect of a drug is caused solely by its pharmacological properties and effects. . Some drugs are instantly addictive . The gateway/ stepping stone theory - the use of 1 drug leads to the use of other more dangerous drugs What are drugs ? Krivanek's definition : Drugs are substances that are introduced into the body knowingly but not as food. Therefore illicit drugs, legal recreational drugs and legal but regulated pharmaceutical drugs that aren't recreational at all. - Whether if a drug is considered bad and is prohibited depends on the culture of the society in a particular period. What is culture ? The definition of culture = Through Roger keesing and Andrew Strathern's definition it is a system of shared ideas, rules and meanings that underlie and are expressed in the ways that human live. - This includes : law, beliefs, political economy, media and popular culture - this perceives ideas about what is normal and abnormal to society. " Culture is always changing and contested, not unified" Enthography as a method for studying drug use It is a process of observing, recoding and describing other peoples way of life through intimate participation the community being studied". - Participation observation, involving yourself in the life of the community , taking up the life of the other person, observing their actions, asking questions and learning what questions...
Words: 21869 - Pages: 88
...Chapter 1: Student Characteristics Understand Characteristics of Students with Disabilities Some students with disabilities pass through typical developmental milestones and express skills within an average range for their age group. Others show delayed growth at certain developmental milestones, and many students with disabilities experience challenges as they navigate through the school curriculum. It is critical that special education teachers know how to differentiate between typical individual differences among children without disabilities and differences that may indicate a disability that requires interventions and/or specialized designed instruction. In addition, special education teachers need to know the most common types of disabilities that students may experience and how those disabilities affect their ability to learn and their behavior in the classroom. Competency 1 thus focuses on the characteristics of typical and atypical human growth and development and the characteristics of students with various disabilities that special education teachers are likely to encounter. The test includes a wide range of multiple-choice questions that address Competency 1. * Questions on typical and atypical behaviors and abilities for children and adolescents at particular ages. * Questions on the types and characteristics of various disabilities. * Questions on the similarities and differences among students with and without disabilities. This competency encompasses...
Words: 37727 - Pages: 151
