Mr. TZ, 40 years old, was admitted to the internal medicine service where you worked, due to peptic ulcer (PU) that developed secondary to chronic alcoholism. You enter Mr. TZ's room and find the patient having a Grand mal (tonic-clonic) contraction.1. List five activities you can doNote: Putting an eirway in the patient's mouth in this situation is dangerous for the patient and their caregivers.The patient's seizures do not seem to go away and the patient appears cyanotic. Physician orders 5, 10 mg of diazepam to be given until the unconsciousness level of the patient passes.2. What is the reason for giving diazepam to TZ?3. What is status epilepticus?4. What should you pay attention to when giving intravenous diazem? (List 3 items)When the physician arrived, the TZ contractions7 still had not passed the level of unconsciousness. Dr. He said to do another 10 mg of diazem. It's been 15 minutes since you found it and the epileptic seizure still continues.5. What is the significance of this?Dr. He decided to administer Vecuronium (Norcuron) and intubated TZ.6. What is Vecuronium (Norcuron) and is it applied to Mr. Tz?TZ was intubated and Dr. He ordered 600 mg phenobarbitural to be given IV and the patient was taken to the intensive care unit.7. What is the justification for giving phenobarbital?8. List two (2) priority nursing diagnoses for TZ?9. When you examine the patient's story above, what are at least two etiologies that cause grand mal epilepsy?TZ's epilepsy was successfully corrected with diazem and phenobarbital, and he did not have any epileptic seizures afterwards. In a phone call with TZ's friend while writing his discharge paper, "you hear that he asked his friend to bring his car. Because he says he wants to go home by using his car himself.10. How would you explain this situation to the patient?11. Write the content of the discharge training you will give to the patient?
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