Treatment of Seizure in CP patient

TheLorax · Mar 2, 2017

What do you mean by "same interventions". When my kiddos with CP have seizures you keep them safe, maintain all aspiration precautions, you can verbally reassure them, let them know you are there and they are okay. Agitating them helps to bring them out of the seizure, you can rub their face and kindly "poke" at them, or a cool cloth or ice pack to the back of the neck helps. Make sure to time the seizure. The kiddo should have a script for diastat or another rescue med and the doc should have guidelines as to when to use it. I have seen orders for rectal diastat for a seizure lasting longer than 3 minutes, 5 minutes, 10 minutes. It depends on the typical seizures the kiddo has. If there are no orders then it is an emergent situation after a seizure lasting longer than 5 minutes and you should call 911. Does that help?

sarahNewRN · Mar 2, 2017

Yes that helps. I have never worked with a CP child. I have some experience in dealing with seizures. I didnt know if there was any other necessities for a child with CP. The question states.. Child with CP is experiencing tonic clonic seizure in bed, has no history of seizure activity. RR is 8 breaths/min, HR of 142 bpm, and 02 sat of 90% on room air. What do you do? Just want to make sure I am remembering everything. Thank you for your reply.

TheLorax · Mar 2, 2017

Yup! Everything is the same as with any seizure. With that the child's O2 is low so administering oxygen would be added to the list of things to do. Since they are in bed you should roll them to the recovery position. Because they have no hx of seizures, after 5 minutes it would be an emergency. And for sure let the doctor know of this new activity.