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1. After the occurrence of epilepsy, immediately tilt the patient's head to one side to clear the secretions in the mouth to prevent inhalation and suffocation. A gauze-wrapped tongue depressor is placed between the upper and lower molars to prevent bite of the tongue and cheeks and to facilitate unobstructed breathing. Patients with airway obstruction should undergo an early tracheotomy.
2. Immediately monitor blood pressure, respiration, pulse and ECG. Routine oxygen.
3. Quickly establish intravenous infusion channels, keep the infusion unobstructed, evaluate cardiopulmonary function, pay attention to the prevention and treatment of water loss, acidosis, electrolyte disorders, heart failure, etc., and maintain normal blood pressure. Use strong anticonvulsants to control seizures in a timely manner;
4. Maintain life function, prevent and control complications, and pay special attention to the treatment of cerebral edema, acidosis, respiratory and circulatory failure and high fever in the nursing of status epilepticus;
5. Actively search for the first disease and control the original disease;
6. After seizure cessation, the care of status epilepticus should be carried out with long-term antiepileptic**.
7. Try to provide the doctor with the possible causes of the patient's status epilepticus (such as sudden stopping, changing, drinking, infection, pregnancy, etc.).
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1. Arrange the child's life and study reasonably, ensure adequate rest, do not eat too much, do not drink too much water, and avoid lack of sleep and mood swings. Eat a quantitative diet, do not overeat, avoid spicy, coffee and seafood, etc.
2. Pay attention to safety, patients should not go out alone during the period of taking medicine to prevent traffic accidents, pay attention to the safety of children, prohibit swimming and climbing alone, and prevent falling or falling injuries. It is forbidden to forcibly take medication, water or food during the attack, and avoid using force to stop the child from ticing to avoid fractures and other accidents.
3. Avoid triggers, parents should pay attention to observation, explore the rules, and pay attention to avoid the causes that contribute to the child's seizures, such as excessive fatigue, emotional agitation, lack of sleep, excessive eating, loud voices, bright light, colds, etc. Especially in young children, the proportion of children with high fever and convulsions who become epilepsy is about 25%. Therefore, if the child has a high fever, he should see a doctor in time for the corresponding **.
Fourth, do not stop the drug without authorization, due to the long course of epilepsy, need long-term medication**, many parents are afraid that long-term use will damage the child's body, as soon as the condition is relieved, they will stop on their own, resulting in recurrence and aggravation of the condition. In fact, epilepsy does not affect the child's development. If you don't continue**, not only will the seizures become more frequent, but also seriously damage the advanced neuropsychiatric function, and there will be intellectual, motor or emotional abnormalities.
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1. Enhance physical fitness and fresh air. In order to make the sick child as soon as possible, it is necessary to strengthen the child's physique and avoid infectious diseases such as colds, fever, and diarrhea. Once the disease is present, it should be prompted**; In addition, in order to ensure the health of sick children, it is also necessary to keep the air in the home fresh and circulated, and avoid taking sick children to crowded places with dirty air.
so as not to catch the disease.
2. Closely observe the changes in the child's condition, if the precursor of the attack is found, measures should be taken in time, and the nature of the attack should be observed at the same time, and if necessary, it should be sent to the hospital for treatment.
3. Parents should pay attention to the psychological changes of the child, help the child to relieve the mental burden of the child, and avoid the inferiority complex of the child.
4. Let the child maintain a normal state of mind. Due to social prejudice and discrimination, children with epilepsy suffer from mental and psychological harm to a certain extent while suffering from the pain, and there are psychological disorders such as emotional abnormalities, behavioral abnormalities, and cognitive dysfunction.
5. Avoid triggers that cause seizures. Avoid all kinds of triggers, prevent seizures, live a regular life, rest on time, ensure adequate sleep, avoid overwork and strenuous exercise, eat lightly, avoid oversatiety, avoid tension, cold, infection, encourage children to engage in appropriate exercise, and maintain a good attitude.
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1. Acute seizures of epilepsy: Parents or medical staff should keep the patient in the lateral decubitus position, remove the foreign body in the mouth, avoid suffocation and death caused by aspiration, do not shout for help or strongly stop the seizure, and give the child a quiet environment;
2. When the seizure is not seizure: the main thing is to pay attention to safety, do not let the child hold a sharp object or go to the water's edge alone, so as to avoid the child having a sudden seizure and drowning;
3. Children who have frequent seizures should pay attention to wearing protective hoods to prevent children from falling to the ground and injuring their heads during seizures.
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Care measures for patients with epilepsy should pay attention to the following:
1. Psychological nursing. Epilepsy is a chronic disease, physical pain, family discrimination, social prejudice, seriously affect the physical and mental health of patients, patients often feel nervous, anxious, fearful, emotional instability, etc., always worried about recurrence. Therefore, family members should often give care, help, and love, and give timely guidance for ideological concerns, so that they can have a good living environment and a happy mood.
2. Medication care. Family members should supervise and inspect patients to take medicines on time and in accurate amounts, prevent underdoses, missed doses and more doses, and family members should not change drugs and doses at will, whether they increase or decrease drugs, as well as the variety of drugs to be replaced, they should be carried out under the guidance of doctors.
3. Seizure care. Once a seizure occurs, there is no need to panic, the patient should immediately lie flat with the head tilted to one side, quickly loosen the collar, and stuff the towel between the upper and lower teeth to avoid biting the tongue, and do not force the convulsive body to avoid fractures and dislocations. If status epilepticus occurs, you should be sent to the hospital for medical attention.
4. Observation of the condition. Fully understand the characteristics of the patient's seizures, such as the triggers, places, seizure time, seizure aura, duration, etc., and introduce the detailed situation to the doctor, and carry out targeted treatment.
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If the baby has epilepsy, he should actively take medication under the guidance of a doctor**, and nursing care is also very important. Usually be sure to take good care, avoid excessive fatigue of the child, do not let the child climb high, do not let the child cry excessively, get angry and excited, and give the child more milk, soy products, eggs and other protein-rich foods.
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Pediatric epilepsy care is daily care, in the daily care of the first thing to pay attention to the baby's daily routine to be regular, diet to be regular, to avoid the baby's overwork, if some babies stay up late in the case of overwork, then it will induce the baby's epileptic seizures.
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In daily life, you should regularly take your child to the hospital to check blood and urine, which are very important, as well as to check liver and kidney function, so as to ensure that the child recovers slowly in this process, and it is best not to let the child be too excited and tired.
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If the trismus is closed, do not force him to open his mouth, also make sure to slap too hard to avoid unnecessary injury, do not eat immediately after the attack, and it is best to lie on his side to avoid the outflow of secretions, and prevent choking and suffocation.
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Hello, juvenile epilepsy has a great impact on patients and their families, and the seizures are also very worrying. People with epilepsy in the family should take more precautions.
Guidance: Juvenile epilepsy patients should be given high-vitamin, high-calorie, easy-to-digest liquid or semi-liquid food, how to care for juvenile epilepsy patients, usually multi-focus and drink warm boiled water, keep the respiratory mucosa moist. Epilepsy should avoid exertion, ensure adequate sleep, lack of sleep can increase the excitability of the brain, it is easy to cause seizures.
I hope mine is helpful to you, and I wish you good health!
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1. Nursing care of childhood epilepsy during the period: Family members should supervise and inspect child epilepsy patients on time, in accordance with the amount and accurately**, to prevent less, missed and more doses. Whether it is an increase or decrease and the variety of replacement, it should be carried out under the guidance of a doctor.
It should be adhered to for a longer period of time. After the condition of childhood epilepsy is completely controlled, it can be considered to gradually stop**, and the process of reducing the dose will take more than 1 year, and it is important to avoid short-term or sudden stop**, the longer the course of the disease, the larger the dose, the slower the stop**, and a small number of children with epilepsy may need life**.
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Epilepsy patients should eat as diverse their diet as possible, eat more nutritious and easily digestible foods, such as pasta, beans, lean meat, eggs, fish, milk, etc., especially beans, fresh vegetables, fruits, dairy products, these foods rich in protein and phospholipids, which are rich in protein and phospholipids, help restore brain function and reduce the number of seizures. In addition, patients with epilepsy should increase their magnesium intake. Epilepsy patients often have magnesium deficiency, especially those who need long-term medication**, such as long-term use of phenytosium, which is prone to cause osteoporosis, in addition to giving a high-calcium diet, magnesium intake should also be paid attention to.
Epilepsy patients should pay attention to the following points when it comes to diet: >>>More
1. Diet should be selective, eat more light, high-vitamin vegetables and fruits, and do not overeat. >>>More
Epilepsy is a chronic disease, and the most important means at present is the standardized anti-epileptic drug system, and clarifying the type of seizures and the type of seizure is the basis for choosing antiepileptic drugs. If there are more than two antiepileptic drugs**, reaching the effective dose**, and the seizures are still frequent, drug-resistant epilepsy should be considered, and a detailed examination can be carried out to clarify the location, number and relationship between the epileptic foci and the functional area.
Remove hard objects from the side, then help the child lie on his side to keep the child's airway open, and then quickly put soft objects such as towels, clothes, and handkerchiefs under the child's head and unbutton the collar of the child's shirt. If it is too late to make the above arrangements, parents should quickly hold the child and let him fall down to prevent him from falling to the ground. >>>More
1. Traditional Chinese medicine diagnosis**: including prescriptions, unilateral prescriptions, and test prescriptions (home remedies) of traditional Chinese medicine; Acupuncture; Tuina massage; Hanging line, etc. >>>More