Tuesday, February 4, 2020

Extreme Situation Recorded under Status Epilepticus Case Study - 4

Extreme Situation Recorded under Status Epilepticus - Case Study Example The patient named Master Bradley Jackson was a five-year-old boy admitted to the hospital for a detailed investigation for seizures. The child was diagnosed with several tonic-clonic types of seizures majorly on the left side of the body. The patient recorded failure of consciousness and occasional situations of incontinence in his medical history during the last four months owing to seizures. The recordings on the Glasgow Coma Scale (GCS) did not reveal any sign of recovery from his previous state. The patient was also recorded with a series of seizure episodes that lasted for 1.5 minutes each even after being treated with benzodiazepine midazolam. However, his situation got stable after the stabilizing procedure followed in the intensive care unit. After the patient got stabilized, he was shifted to the pediatric intensive care unit (ICU) and finally to the neurological department where he is being treated presently. In this regard, the case is selected for its criticality. Additionally, the case aids nurses in having a better understanding about critical assessments as well as diagnostics conducted in relation to epilepsy. Tonic-clonic is a type of seizure that covers up the entire brain and affects several operations performed by the brain. The CT scan of the patient had detected hardly any abnormalities. This can be possible as the recurrent occurrences of seizures can be indicative of the presence of certain ‘microscopic or macroscopic’ brain lesion. Conversely, this lesion cannot be identifiable by any pathological or biochemical abnormalities (Garcia & Strub, 2011). Thus, further tests should be performed in order to locate any minor injuries in the brain and also diagnose the microscopic presence of the injury in the nerve cells. The benzodiazepine midazolam is one of the best medications and most effective procedure for the treatment of seizures in children. The midazolam group of benzodiazepine is observed to be best suited for providing first aid to the child at the time of severe convulsion.

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