Transcript
D E N TA L E M E R G E N C Y M A N A G E M E N T
EPILEPSY
EPILEPSY
●Disorders of brain function characterized by recurring seizures.
Electrical disturbance in one section of nerve cells causing uncontrolled electrical discharges.
How Epilepsy is diagnosed..
●History
●Physical Exam
●Electroencephalogram
●MRI (Neuro-imaging)
●CT Scan
TYPES OF SEIZURES
GENERALIZED SEIZURES
The phases of gran-mal seizure are as follows:
Atonic seizures produce an abrupt loss of muscle tone.
Other names for this type of seizure include drop attacks, astatic or akinetic seizures.
They produce head drops, loss of posture, or sudden collapse.
PARTIAL SEIZURES
MEDICATIONS
● Diazepam (Valium) this will stop motor movement
● Phenytoin (Dilatin)
● Phenobarbital (Barbita)
● Paraldehyde
● Thiopentahl sodium (Pentotal sodium)
● General anesthesia may also be used as a treatment of last resort to stop seizure activity
Managing the patient
Injury prevention for the patient with seizure is a PRIORITY.
Stay calmKeep person safe, remove dangerous objectsPatient should be placed on the floor and remove
any obstructive itemsPatient should never be forced into a positionPad side rails Do not attempt to pry open jaws that are clenched
in a spasm to insert anything.If possible place the patient on one side with head
flexed forward
Seizure in a dental chair
Do not remove the person from the dental chair unless absolutely necessary
Secure dentalchair to prevent the person from falling
Protect and support head
Ensure breathing is unobstructed and allow secretions to flow from mouth
Pad dentalchair to prevent injuries to limbs
VIDEO
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