Seizure Pathophysiology and Types of Seizures
Seizure Pathophysiology and Types of Seizures ( 3 Questions)
A nurse is planning care for a client who is scheduled to undergo a corpus callosotomy for the treatment of refractory seizures. Which of the following interventions should the nurse include in the plan?
Corpus callosotomy is a surgical procedure that involves cutting the corpus callosum, the band of nerve fibers that connects the two hemispheres of the brain. This surgery aims to reduce the frequency and severity of generalized seizures, especially drop attacks, by preventing the spread of epileptic activity from one side of the brain to the other²³. After surgery, it is important to monitor the patient's neurologic status, including level of consciousness, pupillary response, motor function, and sensory function, to detect any complications or changes in seizure activity¹².
Choice B is wrong because prophylactic antibiotics are not routinely given before corpus callosotomy. Antibiotics may be used to treat infections that occur after surgery, such as meningitis or wound infection, but they are not indicated for prevention¹².
Choice C is wrong because instructing the patient to avoid coughing or sneezing after surgery is not a specific intervention for corpus callosotomy. Coughing or sneezing may increase intracranial pressure and cause discomfort, but they are not likely to affect the outcome of the surgery or cause complications¹².
Choice D is wrong because elevating the head of the bed to 45 degrees after surgery is not recommended for corpus callosotomy. Elevating the head of the bed may help reduce cerebral edema and improve venous drainage, but it may also increase the risk of bleeding or air embolism¹². The optimal position for the patient after corpus callosotomy is supine with the head in a neutral position¹².
Corpus callosotomy is a surgical procedure that involves cutting the corpus callosum, the band of nerve fibers that connects the two hemispheres of the brain. This surgery aims to reduce the frequency and severity of generalized seizures, especially drop attacks, by preventing the spread of epileptic activity from one side of the brain to the other²³. After surgery, it is important to monitor the patient's neurologic status, including level of consciousness, pupillary response, motor function, and sensory function, to detect any complications or changes in seizure activity¹².
Choice B is wrong because prophylactic antibiotics are not routinely given before corpus callosotomy. Antibiotics may be used to treat infections that occur after surgery, such as meningitis or wound infection, but they are not indicated for prevention¹².
Choice C is wrong because instructing the patient to avoid coughing or sneezing after surgery is not a specific intervention for corpus callosotomy. Coughing or sneezing may increase intracranial pressure and cause discomfort, but they are not likely to affect the outcome of the surgery or cause complications¹².
Choice D is wrong because elevating the head of the bed to 45 degrees after surgery is not recommended for corpus callosotomy. Elevating the head of the bed may help reduce cerebral edema and improve venous drainage, but it may also increase the risk of bleeding or air embolism¹². The optimal position for the patient after corpus callosotomy is supine with the head in a neutral position¹².