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seizures (student)

Nurses   (2,697 Views 24 Comments)
by sweetieann sweetieann (Member)

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What would be the FIRST priority to a pt havign a seizure: administering O2 or giving seizure med?'

Thanks!

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EricJRN has 13 years experience as a MSN, RN and specializes in NICU.

6,666 Posts; 27,830 Profile Views

Before you give a seizure med or start O2, you'd want to ensure the patient's safety and establish a patent airway. Those aren't choices, are they? :p

Between the two, I'd say give the O2. It's fairly quick and simple. If your first dose of seizure med doesn't work, at least you're correcting any hypoxia.

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NurseLatteDNP has 11 years experience as a DNP, RN and specializes in Education, Administration, Oncology.

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I agree with that. We were tought, safety is #1. But between those two, I would also pick O2.

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Larry in Florida has 12 years experience and specializes in corrections, LTC, pre-op.

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Give the O2 after checking the airway.

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truern specializes in Telemetry & Obs.

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Having seen my daughter slump over one too many times during a seizure and occlude her airway, I'd have to say "airway"....a simple thing like correcting the alignment of the neck.

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4 Followers; 11,299 Posts; 76,582 Profile Views

As someone who suffers from seizures . . . I'd say AIRWAY.

Unless someone is in status epilepticus, there is no need for meds acutely. A person goes on anti-seizure meds to control the seizures.

But usually you just wait it out, protecting the airway by turning them on their side and maybe giving O2.

steph

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DanEMT is a ASN, RN and specializes in ED.

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Airway, place right lateral recombant, let gravity work on the tongue, not a option... O2

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2,801 Posts; 13,361 Profile Views

Wouldn't you have to wait til the seizure were over to administer O2? Would you automaticallly administer O2 if were readily available or check O2 sats first?

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4 Followers; 11,299 Posts; 76,582 Profile Views

Wouldn't you have to wait til the seizure were over to administer O2? Would you automaticallly administer O2 if were readily available or check O2 sats first?

Just in my experience - no O2 the first time and O2 the second time . . . .not sure why really.

I really hate these "first priority" questions . .. . .shades of nursing school and NCLEX.:nono:

steph

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4 Followers; 11,299 Posts; 76,582 Profile Views

O2 whether it's the first one or not.....the brain needs all the help it can get.

I wasn't making a judgment - just remembering what happened to me - the two different outcomes.

I agree - the more O2 while I was turning blue . .the better. :idea:

steph

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