NUR2407 Week 2 Case Study – Epilepsy

NUR2407 Week 2 Case Study – Epilepsy

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Each Case study should be between 2 -3 pages – Not including the patient description and reference page.

Each study should have two academic references (textbooks, reference books, or research article) in APA format. Websites such as WebMD,, and are not considered academic references.

Responses should be in your own words and not directly copied for other texts. Plagiarism and academic dishonesty is not tolerated.

The studies do not need an APA title page, headers, or running head. You may answer the question directly on the document, but please use a different colored font that is readable.

Case Study – Epileptic Seizure

L.U. is a 16-year-old high school student with no previous health history. After soccer practice on an 85°F day he states he is very tired and has a headache. His teammate notice he is having trouble opening is combination lock to his locker. They call the trainer and as he is being examined, he starts to have a tonic-clonic seizure that lasts 30-seconds. Emergency Medical Services is called and L.U. is transported to the hospital.

Vital signs are: Temp. 99.8°F oral, HR 75, RR 18, B/P 130/80

At the hospital, L.U has another 45 sec. tonic-clonic seizure. The following medications are prescribed:

· Diazepam 10 mg IV stat

· Phenytoin 0.5mg/kg/min IV infusion

· Phenobarbital 1.5mg/kg IV push now

After two night in the hospital with no further seizures, L.U. is discharged with the following medications

· Valproic Acid 10mg/kg/day divided into two doses PO

· Carbamazine 150mg BID PO


1. Explain the pathophysiology of tonic-clonic seizure?

2. Name three nursing priorities?

3. List a short-term (during your shift) and a long-term (before discharge) SMART goal for the patient?

4. What is the classification, action, and therapeutic effect (reason) for each medications?

5. List drug interactions or contraindications to be concerned about for each drug?

6. What adverse effects/side effects does the nurse need to monitor for each medication?

7. What are some ethical or legal issues to consider with this case?

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