EPILEPSI

DOSEN : Mr. IDI AMIN, S.S., M.Pd., Dipl.TEFL

GROUP7:
M.AGUNG
TONIISWANDO
AGUSPRIANTOTO
DIANANITA
FIDIAGUNARTI
ANGGIPRAYOGA

PANCABHAKTINURSINGACADEMY
BANDARLAMPUNG
DEFINITIONS.

Epilepsyisasymptomormanifestationofexcessive
lossofelectricalchargeonthecentralnervoussystem
neuronalcellsthatcanleadtolossofawareness,
involuntarymovements,abnormalsensory
phenomena,increasedautonomicactivityandother
physicaldisorders
Etiology.
Idiopathic.
Acquerit:braindamage,drugtoxicity,metabolicbacteria.
-Birthtrauma
-Headtrauma
-Braintumor
-Stroke
-Cerebraledema
-Hypoxia
-Poisoning
-Metabolicdisorders
-Infection.
Symptoms:
1.Generalresurrection:
Tonic:musclecontraction,legandelbowflexion,neck
andbackarched,screamingepilepsy(aura).20-60
seconds.
Clonic:spasmusflexialternaterelaxation,hypertension,
midriasis,tachycardia,hyperhidrosis,hypersalivasi.40
seconds.
Post-Attack:muscleactivitystops
consciousclientsback
lethargy,musclepainandheadaches
clientssleep1-2hours
Next
2.Infantilespasm:
-Therewasaged3months-2years.
-Seizuresflexoronektremitasandhead.
-Justafewfetikrecurrentseizures.
-Mostoftheclientsarementallyretarded
3.Focalmotor:
Lesionsinthefrontallobe.
4.FocalSensory:
Lesionsintheparietallobe.
5.FocalPsychomotor:
Temporallobedysfunction
MANAGEMENT.
Medical:
a.CausalTreatment:
Itshouldbeinvestigatedwhetherthepatientisstillsufferingfromtheactivedisease,
suchascerebraltumor,chronicduralsubhematome.Ifyes,needtobetreatedfirst.
b.Drugsusedforepilepsythatcanbeappliedtoallformsofseizure:
-Phenobarbital,thedoseof3-8mg/kgbw/day.
-Diazepam,dosesof0.2-0.5mg/kgbw/day.
-Diamox(asetazolamid),10-90mg/kgbw/day.
-Dilantin(Difenilhidantoin),thedoseof5-10mg/kgbw/day.
-Mysolin(Primidion),dosesof12-25mg/kgbw/day.

Whensufferingfrominfantilespasmsaregiven:
-Prednisonedoseis2-3mg/kgbw/day.
-Dexametasone,dosesof0.2to0.3mg/kgbw/day.
-Adrenokortikotropin,dosesof2-4mg/kgbw/day.

.Nursing:
Problemspatientstonoteistheriskofdangerduetoriseofepilepsy,impairedsense
ofsecurityandcomfort,theriskofpsychosocialdisorders,lackofparental
knowledgeaboutthedisease
INTERVEBSI DAN IMPLEMENTASI
1.Riskheightofthetrauma/terminationofrespiratory-
relatedchangesofconsciousness;weakness;losingbig
orsmallmusclecoordination.

ACTIONPLAN/INTERVENTION:
-Digwithclientsvariousstimulationcantrigger
seizures.
Rational:alcohol,variousdrugsandotherstimulation
(suchaslackofsleep,thelightsweretoobright,
watchingTVtoolong)canincreasebrainactivity,
whichfurtherincreasestheriskofseizures.
Next.
2.Highriskairwayclearance/ineffectivebreathing
patternrelatedtoneuromusculardamage;obstruction
trakeobronkial.

ACTIONPLAN/INTERVENTION:
-Encourageclientstoclearthemouthofobjects/
substancesspecified/denturesorotherdeviceifthe
auraphaseoccursandtoavoidjawshutifseizures
occurwithoutmarkedsymptoms.
Rational:toreducetheriskofaspirationortheentryof
foreignobjectsintothepharynx.
Next..
Impairedself-esteem/self-identityrelated

ACTIONPLAN/INTERVENTION:
-Discussfeelingsaboutthepatient'sdiagnostic,self-
perceptionofthetreatmentdoes.Advisetoexpresshis
feelings.
Rationale:reactionshavevariedbetweenindividuals
andtheknowledge/experiencewithstateofthe
diseaseearlywillaffecttheacceptanceoftherulesof
treatment.
THANK YOU