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Learn about different types of seizures and how to respond during emergencies, as well as managing diabetic conditions and recognizing symptoms of hypoglycemia and hyperglycemia.
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SEIZURES CHAPTER 15
A SEIZURE IS THE RESULT OF AN ABNORMAL STIMULATION OF THE BRAIN’S CELLS.
MEDICAL CONDITIONS THAT CAN LEAD TO SEIZURES • EPILEPSY • HEATSTROKE • POISONING • ELECTRIC SHOCK • HYPOGLYCEMIA • HIGH FEVER IN CHILDREN • BRAIN INJURY, TUMOR, OR STROKE • ALCOHOL WITHDRAWL, DRUG ABUSE/OVERDOSE
FOUR TYPES OF MAJOR SEIZURES • GENERALIZED SEIZURE (GRAND MAL) -loss of conciousness, bladder control, muscle contraction, confusion and tongue biting -Can be frightening and often will be followed by drowsiness or coma
Focal Motor - may cause on part of the face or arm to twitch • Psychomotor or Temporal Lobe- -Can lead to altered personality state -Preceded by dizziness or metallic taste -May cause sudden unexplained attacks of rage Petit Mal- common in young children -brief loss of consciousness, usually not serious
What To Do • Cushion their head • Loosen tight fitting clothing • Roll to coma position • Look for medical alert tag • Offer help when seizure ends • Call EMS if: • Person is not a known epileptic, lasts more than 5 minutes, slow to recover, pregnant or injured or ill
Diabetic Emergencies • What is Diabetes? Balancing Act • Type I vs. Type II • Hypoglycemia and Hyperglycemia
Hypoglycemia -low blood sugar -Insulin reaction or shock -Balancing Act -Sudden onset, poor coordination, anger, pale, confusion, sweating, trembling unconsciousness -What to do: Diabetic, Confused and can swallow -give 15 grams of fast acting sugars (pg 275)
Hyperglycemia -High blood sugar -Diabetic Coma -Balancing Act -Gradual onset, extreme thirst, frequent urination, flushed skin, vomiting, fruity breath, eventual unconsciousness -What to do: Diabetic give insulin, if not know get to hospital. Can always test if you have a glucometer