Quote from 2bnurse_it
But exactly what do we do if they are actively seizing?
leave them alone? suction? (i've really never got the hang of sunctioning... it goes down their throat??)
While a person is actively seizing, stand back make sure the environment is safe. Observe the time the seizure began observe for any tonic/ clonic movement. If you were present when seizure began observe eyes which direction did they drift. Observe that airway remains unobstructed. Be prepared to place patient on their side if vomiting occurs. I have not yet ever had to suction a patient who was having a seizure, just lucky so far I guess. Also observe if they are incontinent.
I have witnessed many grand mal seizures, mostly we observe, just keeping the patient safe. It is if they go into status epilectilis then orders must quickly be gotten for drugs which will help stop the process. If unable to stop the process our patient's were transferred to ICU. It is status epilectilis which is life threatening causing potential brain damage, not necessarily just the grand mal seizure which many patients can have and come out of without harm.
We notify the doctor of the seizure, most often they will order labs to see if anticonvulsant levels are in the norm. We do not administer prn med for the lone seizure while it is occuring, only for status epileticus as I mentioned.