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Recognition and nursing management of reflex anoxic seizures in children
- Source :
- British Journal of Nursing. 27:886-892
- Publication Year :
- 2018
- Publisher :
- Mark Allen Group, 2018.
-
Abstract
- Reflex anoxic seizures (RAS) present with a transient loss of consciousness and are triggered by an unexpected stimuli. These are paroxysmal, short-lived episodes of pronounced bradycardia or transient asystole; the episodes are self-limiting, lasting between 15 seconds and 1 minute. RAS are an important differential diagnosis of transient loss of consciousness but they are commonly misdiagnosed as epileptic events. An accurate and focused history is key to the diagnosis. They are mostly managed by performing an ECG to rule out other causes of arrhythmia, with subsequent explanation of the condition and reassurance given to parents. Nurses play an important role in eliciting the history and providing support to parents following the diagnosis. This article addresses the epidemiology and pathophysiology of RAS, with suggestions for management. An illustrative case study is included to highlight some of the challenges that health professionals working in different clinical set-ups are likely to come across while managing a child with RAS.
- Subjects :
- Bradycardia
medicine.medical_specialty
Nursing Diagnosis
media_common.quotation_subject
Syncope
03 medical and health sciences
Epilepsy
0302 clinical medicine
Seizures
030225 pediatrics
Reflex
medicine
Humans
Medical history
Asystole
Child
Nursing management
Intensive care medicine
General Nursing
media_common
business.industry
Decision Trees
030208 emergency & critical care medicine
medicine.disease
Consciousness
medicine.symptom
Differential diagnosis
business
Subjects
Details
- ISSN :
- 20522819 and 09660461
- Volume :
- 27
- Database :
- OpenAIRE
- Journal :
- British Journal of Nursing
- Accession number :
- edsair.doi.dedup.....80ed1d2c7789ed704cce0aa9268b5ce1
- Full Text :
- https://doi.org/10.12968/bjon.2018.27.15.886