ALTERATIONS IN CENTRAL NERVOUS SYSTEM

							 Assess for level of consciousness
 Assess seizure activity
 Length of time
 Assess for incontinence (bladder/bowel)
 Assess for post seizure behavior (LOC,
  memory loss, lethargy)
 Include  time
 Include focus of seizure
 Identify change in respirations
 Define progression of movement
  through body
 Identify changes in neurological status
 Describe post-ictal activity (duration,
  status, behavior)
 Gently  lower the person down
 Turn the head to the side and
  maintain patent airway
 Have oxygen and suction available
  (when patient has a history of
  seizures!)
 PLACE NOTHING IN THE MOUTH!
 Do not restrain the person
 Safe environment
 Loosen tight or restrictive clothing
 Saline lock may be necessary.
 Bed: siderails should be UP
       lowest position
 Padded siderail (agency protocol)
 Cyanosis is generally self-limiting; no
  treatment is needed