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Perform neurological observations note any pupil abnormalities, deviant gaze or motor weakness in any limbs and its duration. Assess and document any injuries sustained during the seizure. Monitor the duration of sleep after the seizure.
The nurse should not only document the post-seizure care provided, but also the events immediately prior to the seizure, characteristics of the seizure (including start and end time), and the medical care provided during the seizure (such as any medications given or oxygen application).
Write down what happened as soon as you can. Include as much information as possible about the following areas: BEHAVIOR BEFORE THE SEIZURE - what was the person doing at the time of event, change in mood or behavior hours or days before, warning or aura shortly before event.
Why is recording seizures important? Getting and keeping seizure control is the number one goal for most people. Keeping track of seizures is the best way to know how many seizures a student has, what type, and how they affect the student. This information helps the epilepsy team know what treatment may be best.
If you are developing your own diary or journal we recommend that you include some key information: Seizure activity and types, including dates and frequency of any events. Medication side-effects you might be experiencing. Possible seizure triggers that you, or others, are noticing.
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Using video EEG, your doctor can confirm whether you are having an epileptic seizure and, if so, its type and location in the brain.
The patient should be asked about medication, illicit drug, and alcohol use. A history of neurologic or developmental disorders or a family history of epilepsy may help narrow the differential diagnosis. The physical examination should include a thorough neurologic and mental status evaluation.
Historical features that favor seizures include tongue biting, head turning, posturing, urinary incontinence, cyanosis, prodromal dj-vu, and postictal confusion. A point system using most of these features was designed, with a reported 94% sensitivity and specificity for the diagnosis of seizures.
What are the symptoms of a seizure? Staring. Jerking movements of the arms and legs. Stiffening of the body. Loss of consciousness. Breathing problems or stopping breathing. Loss of bowel or bladder control. Falling suddenly for no apparent reason, especially when associated with loss of consciousness.
Outline Medical history. Description of the event. Postictal period. Seizure precipitants or triggers. Prior events. Medications and substances. Past medical history. Family history. Physical and neurologic examination. Laboratories. Electrocardiogram.

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