Neurological Concept Map

Z.T. is an 18 year old female who was diagnosed with Absence Seizures (Petite Mal) at the age of 5. Early in her diagnosis she experienced between 80 and 100 seizures per day with each lasting for approximately 25 seconds. The cause of her seizures is unknown. At that time she was placed on Ethosuximide (Zarontin) 250 mg twice daily to control her seizures. With the onset of puberty the number of seizures decreased but did not stop all together. Today she has come to the emergency room because she has been experiencing an increase in the number of seizures and had several in row in her senior english class earlier today. Her parents are out of town but she states she makes her own health care decisions as she is 18 years old. Her current medication is Ethosuximide (Zarontin) 750 mg once daily. The emergency room physician would like to add She went to the ER today because she has been having an increase in the number of seizures and had several in a row in her senior English class earlier today. Her parents are out of town, but she claims she is responsible for her own health care because she is 18 years old. Ethosuximide (Zarontin) 750 mg once daily is her current medication. The emergency room doctor wishes to addValproate sodium (Depakene) starting at 5 mg/Kg/day. While she is waiting for her first dose of Depakene she has another 3 seizures in the emergency room. The emergency room physician decides to admit Z.T. onto the unit that specializes in neurological disorders.
Her current vital signs are: B/P 110/70 Temp 98 F H.R. 80 Resp. 16 Weight: 120lbs Height: 5’7”

Concept her current condition and diagnosis making sure to include possible etiologies.

Also include either on the map or separately the following information:
1. What are some key safety concerns for Z.T.?
2. What are the possible drug/drug interactions with her current and new medications?
3. What would be the total dose of depakene for Z.T.?
4. What are possible causes for the recent increase in the number of her seizures?
5. Are you, as the nurse, required to contact Z.T.’s parents with regards to her hospital visit?

Rubric
Concept Map Grading Rubric (6)

Concept Map Grading Rubric (6)

Criteria Ratings Pts
This criterion is linked to a Learning OutcomeOriginality

1 pts
Presentation shows considerable originality; content and ideas are presented in a unique and interesting manner.

0 pts
No Marks

1 pts

This criterion is linked to a Learning OutcomeRisk Factors

3 pts
Risk factors are correctly identified and connected to the etiology or pathogenesis.

2 pts
Risk factors are identified and connected to the etiology or pathogenesis, with 1 or 2 errors.

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