Tonic Seizure Case Studies Essay

In the description of the symptoms that were manifested by Brent which include loss of consciousness, violent spasms and stiffening with the upper extremities flexed and the lower extremities extended, he had a generalized tonic-clonic seizure. According to Burn, et al. (2013), the generalized tonic-clonic seizure may last 5 to 30 second and lapses of consciousness. Although the cause of the seizure may still remain unknown, but many researchers believed that there are certain aspects of brain injury may cause a person to develop this type of disorder. Since Brent involved in a motor vehicle accident in which he experienced a closed head injury that may cause him to develop a seizure on his life later. In post-seizure, it is important to assess all the activity that had happened to the person who had the seizure. In the case, the NP need to assess Brent’s seizure activities by asking Brent’s teacher who was observed her student during the
Phenytoin sodium is an antiseizure medication, it is useful for the prevention of tonic-clonic seizures, partial seizures; this is the reason that it is prescribed to Brent to prevent seizure. Brent as a 9-year-old school age child weighs 30 kg, and the NP increases his Phenytoin to 75 mg, which is a safe dose. According to Drugs.com (2017), the maintenance dose of Phenytoin is 4 to 8 mg/kg; however, children over 6 years old and adolescents may require the minimum adult dose (300 mg/day). The most important aspect of promoting medication compliance is patient education. The NP needs to educate Brent’s mother to give the medication exactly as it is prescribed by the prescriber. Also, this medication should not be taking in larger or smaller amounts or for longer than it is recommended. Phenytoin should not be crushed, chewed, broken, or opened any extended-release capsule. Brent needs to swallow it as a whole for better