Epileptic Status en adultos generalidades.pptx

estado epileptico en adultos

1. Epileptic Status Name

2. Contents 01 Defining Epileptic Status 02 Diagnosis of Epileptic Status 03 Management of Epileptic Status 05 Special Considerations 04 Prognosis and Complications 06 Prevention and Education

3. Defining Epileptic Status 01

4. What is Epileptic Status? A continuous seizure lasting more than 5 minutes. Prolonged seizure Inability to fully recover between seizures. Failure to regain consciousness Multiple seizures occurring in a short period. Increased seizure frequency

5. Causes of Epileptic Status Sudden discontinuation of anti-seizure drugs Abrupt medication withdrawal Disruption of normal brain chemistry Electrolyte imbalances Stroke, head injury, or infection Acute medical conditions

6. Symptoms of Epileptic Status Continuous seizure activity lasting over 5 minutes Prolonged seizures Impaired awareness and responsiveness Altered consciousness 02 01 Difficulty breathing during seizure Respiratory distress 03

7. Diagnosis of Epileptic Status 02

8. Clinical Evaluation Identify seizure type, duration, and frequency. Assess Seizure Characteristics Check for signs of underlying medical issues. Perform Physical Examination Gather details on medical conditions, medications, and previous seizures. Evaluate Patient History

9. Diagnostic Tests Measures electrical activity in the brain to detect abnormalities. Electroencephalogram (EEG) Techniques like CT, MRI, and PET scans to identify structural causes. Neuroimaging Analyze for metabolic or infectious factors contributing to seizures. Blood and Cerebrospinal Fluid Tests

10. Differential Diagnosis Acute Stroke Sudden onset of neurological deficits. Metabolic Disturbances Electrolyte imbalances, organ failure. Structural Brain Lesions Tumors, infections, trauma.

11. Management of Epileptic Status 03

12. Initial Treatment Administer benzodiazepines to stop seizures. Stabilize patient Determine and address precipitating factors. Identify and treat underlying cause Ensure airway, breathing, and circulation. Monitor and support vital functions

13. Ongoing Treatment 01 Administer anti-seizure drugs to control seizure activity. Prompt Medication 02 Maintain airway, breathing, and circulation during seizures. Supportive Care 03 Closely monitor patient's vital signs and neurological status. Monitoring

14. Monitoring and Follow-up Assess seizure activity and response to treatment Continuous EEG monitoring Maintain stable hemodynamics and respiratory function Vital sign monitoring 02 01 Evaluate level of consciousness and any new deficits Neurological assessment 03

15. Prognosis and Complications 04

16. Short-term Outcomes Rapid treatment is crucial to stop ongoing seizures. Seizure Control Monitoring and management of breathing issues is vital. Respiratory Complications Addressing electrolyte imbalances and other metabolic changes. Metabolic Disturbances

17. Long-term Outcomes Epileptic status can lead to higher mortality rates. Increased Mortality Risk Prolonged seizures may cause long-term cognitive deficits. Cognitive Impairment Epileptic status raises the likelihood of permanent brain damage. Neurological Complications

18. Preventing Complications Early Intervention Prompt medical attention can mitigate risks. Medication Management Adherence to prescribed anti-seizure drugs is crucial. Lifestyle Adjustments Avoiding triggers and maintaining a healthy lifestyle.

19. Special Considerations 05

20. Epileptic Status in Children Prompt medical attention for seizure episodes. Early Intervention Careful monitoring and adjustment of anti-seizure drugs. Medication Management Addressing potential learning and behavioral challenges. Developmental Support

21. Epileptic Status in Elderly Elderly individuals have higher risk of epileptic status due to comorbidities. Increased Seizure Risk 01 Careful monitoring of drug interactions in elderly patients. Medication Interactions 02 Underlying health issues can complicate epileptic status management in the elderly. Underlying Conditions 03

22. Epileptic Status in Pregnancy Hormonal changes during pregnancy can increase seizure frequency. Increased Seizure Risk Careful monitoring and adjustment of antiepileptic drugs are crucial. Medication Management Potential impacts of maternal seizures and medications on the fetus. Fetal Considerations

23. Prevention and Education 06

24. Risk Factors and Prevention 01 Identifying potential triggers and managing them. Early Diagnosis 02 Importance of taking prescribed anti-seizure medications. Medication Adherence 03 Maintaining a healthy sleep schedule and avoiding alcohol/drug use. Lifestyle Changes

25. Patient Education and Awareness Identify and avoid common seizure triggers. Recognize Seizure Triggers Importance of taking anti-seizure medications as prescribed. Medication Adherence 02 01 Develop a plan for responding to seizures. Emergency Response Plan 03

26. Caregiver Support Recognize Triggers Identify and avoid potential seizure triggers. Develop Care Plan Collaborate with healthcare team to create personalized care plan. Provide Emotional Support Offer comfort and reassurance during and after seizures.

27. Thank You Name