2.4 inform children and their parents care and medication of antiepileptic drugs and β receptor blocker to be the law, long-term or even lifelong medication, not allowed to increase the amount of reduction or even suspended; avoid the application of other drugs in order to avoid recurrence of symptoms. β receptor blocker medication process, attention to monitoring heart rate, blood pressure, observed in children with or without fatigue, drowsiness, dreams, headache, nausea and so on. Antiepileptic drug treatment after the start, to observe the therapeutic effect and adverse reactions. Subject to regular follow-up and make treatment records, medication adjustments based on clinical efficacy, monitoring EEG, blood concentration, blood biochemistry and liver and kidney function.
2.5 seizures and status epilepticus treatment ① immediate control of seizures, to give stability, chloral hydrate and other drugs; ② close observation of breathing, circulation, correct cerebral edema, acidosis, high fever, low blood sugar, respiratory and circulatory failure, etc.; ③ maintain the airway, head to one side, suction,
abercrombie france, oxygen, prevention and control of complications; ④ monitoring of oxygen saturation, blood glucose, urea, electrolytes, serum calcium, serum magnesium and blood concentrations of antiepileptic drugs .
One case of long QT syndrome with the care of children with epilepsy
Author: Dr. Source: Unknown Date :10-08-14 Visit: times Key words Long QT syndrome; epilepsy; care
2 nursing
2.3 ECG close observation of children with heart rate, heart rate and QT interval changes, and good nursing records. Patients bedside equipment defibrillation machine, to ensure that defibrillation is in good standby, abnormal timely rescue. Such as ECG monitoring found increased U wave amplitude, QT interval prolongation and T wave further voltage or polarity alternation, a high degree of vigilance torsades speed of emergence, when children with syncope, bradycardia, blood pressure and the heart abnormal electrical changes, notify the doctor.
2.2 psychological care LQTS occurred in young people, dangerous attack of illness, especially those with epilepsy. Because younger children, lack of knowledge related diseases, easy to produce low self-esteem, depression, tension, fear and other emotions, it is timely to do psychological counseling of children and their parents, according to psychological characteristics of children, to strengthen communication with children ease the psychological pressure,
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1 case report
2.1 General care for the children to create a comfortable, quiet resort treatment of the environment, reduce access. Avoid strong, sudden noise outside, ensure adequate sleep. Provide nutritious, light digestible diet, including dairy products, beans, whole grains, smaller meals. Increase the intake of fresh vegetables and fruits, avoid stimulating drinks such as coffee, tea and so on. Encourage the children after the event or hot days when the drinking mineral water, freshly squeezed juices and other liquids.
long QT syndrome (LQTS) is the ECG QT interval prolongation, T wave abnormalities, easy to produce ventricular arrhythmias, particularly torsades de pointes ventricular tachycardia, syncope and sudden death of a group of syndromes. Divided according to the general cause of clinical hereditary and acquired two. Patients with syncope, seizures, malignant arrhythmia risk. I admitted to hospital in August 2007, one case of congenital LQTS in children, application of β receptor blockers (metoprolol) to control heart rate, antiepileptic drugs (topiramate) to control seizures, the timely treatment and intensive care, stable patients discharged after remission.
children, female, 6 years old. Acute onset, convulsions, sudden loss of consciousness, staring eyes, facial bruising, froth at the mouth,
abercrombie fitch paris, limb stiffness, cramps shakes his fists, each episode 超过 30 min. Incidence of 4 d, the Physical examination: body temperature, pulse, respiration,
abercrombie france, blood pressure normal, normal hearing ears, lack of heart, heart rate and tidy, no noise, lungs, abdomen and nervous system is no exception. Will be routine and normal blood lactate. Blood biochemistry: potassium 3.34 mmol / L, sodium 131 mmol / L, chloride 95 mmol / L, AST 82 U / L, ALT 67 U / L, CK 1 511 U / L, ammonia normal ECG shows: Sinus heart rate, heart rate 120 beats / min, QT interval prolongation, T wave of lead a notch. Holter icon: heart rate 110 ~ 120 times / min, see the whole single atrial premature beats 2, 1 pair of atrial premature beats, single premature ventricular contractions 20 times, occasionally with bits of premature ventricular contractions. Sometimes the figure shows a significant sinus arrhythmia, and sometimes that QT interval prolongation, rapid heart rate can be seen when the ST in Ⅱ, Ⅲ, aVF, V4, V5, V6 leads slightly decreased, T-wave in Ⅱ, Ⅲ, aVF, V4 , V5, V6 amplitude reduced. Video EEG showed: EEG abnormalities, both sides of the forehead, anterior temporal, middle temporal, posterior temporal leads scattered high amplitude spike and spike and wave spread. Past frail children, a grand mal convulsion at age 1, at a local hospital diagnosed with epilepsy. Children's sister was 7 years old because of repeated seizures in a hospital diagnosed as Parents of children with normal ECG. The children diagnosed as mg / second, 1 / 8 h. After aggressive treatment and care, children with no seizure, stable condition and discharged. More articles related to topics：
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