Potential Causes of Seizures (Case Study Sample)

Case 2 Analysis
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Case 2 Analysis
The case involves a seizure leading to a fall experienced by Zach, a 45-year-old patient who presented to the neurological department. A seizure occurs when there is an interruption in normal brain function. There are many different types of seizures and even more reasons. The brain is a sophisticated electrochemical organ, and the nerves in the body utilize electric impulses in this electrical network, similar to a miniature storm in the brain. Seizures are not necessarily an indication of a seizure condition. Reoccurring seizures characterize a Seizure Disorder; thus, the individual must have a minimum of two to be diagnosed, as in the case of Zach. In this case, the patient experiences physical injury through a fall, as expressed by the head bandage. Therefore, it is essential to analyze various pharmacological steps within the examination, care, and disposition of Zach, an adult patient, arriving at the emergency department (ED) for seizure evaluation to ensure safety and health improvement.
Assessments
All pertinent concerns should be considered throughout the assessment. The procedure should aim to investigate three priorities within Zach's medical, physiological, social, and psychological functions. These include determining the risk factors, situation, history, and physical examination. In this case, the priority is to establish risk considerations specific to Zach's circumstance of seizure experience, as described in Risk Factors. It is essential since it will impact the extent and effectiveness of measures to mitigate the safety threat. Zach's gender, age, developmental age, decision-making capacity, and degree of cognitive or competency must all be considered. It affects his capacity to protect himself and the treatments and instruction he receives.
Another emphasis as the nursing staff will be to address Zach's present condition and injury, pertinent historical history, allergies and responses, medications, immunization history, implants, and family and social background (Rees, 2015). Recent international travel will be reviewed and documented. Diagnosis depends on a thorough and complete history, particularly with a firsthand narrative that includes the wife. Previous seizures, for example, may have an impact on acute care. Another historical evaluation approach will be to discuss with Zach the numerous triggers that may cause a seizure. Alcohol, other medicines, and other stimuli (e.g., lack of sleep, flashing lights, extended television watching) may enhance activity in the brain, thereby exacerbating neurological symptoms.
Vital signs will also be critical, particularly considering Zach's head injury after the incident. Temperature, pulse, breathing, blood pressure (BP), and oxygen saturation are all parameters that may be used to determine Zach's hemodynamic condition. These are healthcare professionals' five most common vital signs (Perry, Potter, & Ostendorf, 2014). Vital signs may identify rapid changes in a patient's status and monitor changes that develop gradually over time. According to Perry et al. (2014), the disparity between Zach's usual baseline vital values and their current vital signs may suggest that action is required.
A physical examination will include the following characteristics to determine the cause of a seizure, which occurs only occasionally. The first step is emergency evaluation, which includes conscious level and airway protection, both of which are required for safe clinical therapy. Because syncope is more prevalent than epilepsy, a cardiovascular assessment (lying and standing blood pressure, cardiac auscultation) is necessary (Smith & Cossburn, 2004). The neurological assessment will look for head injuries, tongue biting, meningism, moderate effect, and focal symptoms (including visual field defects). Post-ictal planters are somewhat prevalent. A routine examination for skin stigmata (neurofibromata, tuberous sclerosis), dysmorphic characteristics, body size asymmetry ( for example, nail size), and cerebral bruit will be performed. The evaluation process will foster curiosity and thought about the best potential treatments that can be used to reduce risks and improve Zach's quality of life. It may eventually include balancing certain risks with some rewards and collaborating with the team, Zach, and his family to make an educated decision regarding the seizure (Theobald & Ramsbotham, 2019).
Laboratory Tests and Diagnostics
After a thorough assessment of Zach's condition, diagnostic tests may be done to distinguish between other possible Zach seizure causes. Laboratory tests help rule out other medical problems. Laboratory testing makes a diagnosis possible based on laboratory results and diagnostic observations while following