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IMPLEMENTATION of Seizure

precautions
• 2. Perform hand hygiene and
observe other appropriate infection
prevention procedures. If the client
is actively seizing, apply clean
gloves in preparation for
performing respiratory care
measures.
• 3. Provide for client privacy.
Alternatives to Restraints
leaves the unit.
•Place unstable clients in an area
that is constantly or closely
supervised.
•Prepare clients before a move to
limit relocation shock and resultant
confusion.
•Stay with a client using a bedside
commode or bathroom if the client
IMPLEMENTATION of Seizure
precautions
4. Pad the bed of any client who
might have a seizure. Secure
blankets or other linens around the
head, foot, and side rails of the
bed.
5. Put oral suction equipment in
place and test to ensure that it is
functional.
IMPLEMENTATION of Seizure
precautions
Rationale: Suctioning may be needed to
prevent aspiration of
oral secretions. 6. If a seizure
occurs:
• Remain with the client and call for
assistance. Do not restrain the client.
.If the client is not in bed, assist
the client to the floor and protect the
IMPLEMENTATION of Seizure
precautions
• Move items in the environment to
ensure the client does not
experience an injury.
• Do not insert anything into the
client’s mouth.
• Time the seizure duration.
• Observe the progression of the
seizure, noting the sequence and
type of limb involvement. Observe
skin color.
IMPLEMENTATION of Seizure
precautions
• Apply oxygen via mask or
cannula.
• Use equipment to suction the oral
airway if the client vomits or has
excessive oral secretions.
• Administer anticonvulsant or
antiepileptic medication as orderd
• When the seizure has subsided,
assist client to a comfortable
IMPLEMENTATION of Seizure
precautions
• Allow the client to verbalize feelings
about the seizure.
• Status epileptics clients may stop
breathing after the seizure.
• Begin CPR immediately. Apply
oxygen per nasal canola or mask
when breathing resumes.
• If applied, remove and discard
gloves.
IMPLEMENTATION of Seizure
precautions
• 7. Document the event in the client
record using forms or checklists
supplemented by narrative notes
when appropriate.
Padding a bed for seizure
precautions.

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