Medical seizures Essay Example | Topics and Well Written Essays - 1000 words

Medical seizures - Essay Example Seizures are temporary phenomena; some individuals have got repeated episodes of seizures. These repeated episodes have been given a medical name of epilepsy. Individuals with seizures may present in different ways depending upon the level of and number of neurons involved. In a number of individuals, it is just a jerky movement involving one or more limbs or other areas with conscious level maintained while in others the movements may involve whole body and individual may loose her/his consciousness. So, seizures have been classified according to the level of complexity and consciousness. When some parts of the body are involved, seizures are called as partial otherwise they are generalized. If consciousness is lost which usually occurs with generalized seizures then these are called complex, if consciousness is present, these are simple seizures. Generalized seizures may affect body in a variety of ways and they have been further divided based on the types of movements they are pro ducing: absence, myoclonic, clonic and atonic seizures. In contrast, there are some situations in which these seizures may be single, for example: trauma or head injury, high grade fever especially in children, a symptom of other diseases including tumor and reactions to some drugs. At times, a partial seizure may spread in the brain when it is called secondary generalization. A persistent state of seizures for more than 5 minutes or by other doctors for 30 minutes is called status epilepticus. It is a real emergency state, which needs urgent measures to bring the patient out of the condition (Wikipedia, Carpenter ch:125). Current Treatment Treatment is required when seizures become recurrent. If the cause of the seizure is removed then there is no need of use of epileptic drugs; this occurs in situations like febrile conditions in children or seizures due to electrolytes imbalance. Main purpose of these drugs is to stop seizures because in addition to the direct effects of seizures there are chances of more severe complications, for example accidents resulting from seizures while driving, to arise if these seizures are not treated effectively. The criteria for starting anti-epileptic drugs are: evidence of focal neurological lesion based on clinical examination, radiological findings or EEG interpretations. If seizures occur once and there are no other findings especially in adults then there is no need of epileptic drugs. These drugs have been classified and prioritised for various types of seizures: Partial - simple and complex: carbamazepin,phenytoin, valproate, gabapentin, lamotrigine, topiramate Secondary generalized: carbamazepin, phenytoin, valproate, gabapentin, lamotrigine, topiramate Primary Generalized - absence: ethosuximide, valproate, lamotrigine Primary Generalized - tonic-clonic: valproate, carbamazepin, phenytoin, lamotrigine Primary Generalized - myoclonic and tonic: valproate, clonazepam Some of the patients do not get benefits from the medical treatment. The only option left for them is surgical resection of the hyperactive area in the brain. This is a very sophisticated procedure, which requires exact location of the area of brain with abnormal hyper excitability (Carpenter ch:125). Treatment of choice for status epilepticus has been diazepam even in the presence

Pseudomonas Essay Example | Topics and Well Written Essays - 500 words

Pseudomonas - Essay Example The problems associated with this type of transient bacteria include infections such as Pseudomonas infections, especially those caused by Pseudomonas aeruginosa. The bacteria also cause infections of the blood, pneumonia and post surgery infections, which may cause death. In addition, mild infections occur, especially after exposure to water, such as infections of the ear and the eye in children, skin rashes. These infections occur after exposure to water, which is inadequately chlorinated (CDC, 2013). The methods that are used to effectively remove this type of transient bacteria from hands include effective hand washing using soap and water because they act as emulsifying agents that dissolve grease and oils on the hands to remove transient bacteria. One should also dry hands after washing them with proper towels. Alternatively, alcohol-based instant hand sanitizers may be used after hand washing. Antiseptic lotions or creams soaps can be used when cleaning hands. Antiseptic soaps or detergents remove surface bacteria, and may have a residual effect while instant hand sanitizers do not have a residual effect (Marriott & Gravani, 2006). Aseptic hand wash and hand sanitizers can be used to prevent the spread of transient bacteria. Aseptic hand wash method involves the use of antiseptic soap and special techniques to cleanse the hands and forearms aseptically. It reduces bioload of bacteria on the skin surface to prevent transmission to the patient (Mulder, 1999). Hand sanitizers are made of chemicals such as alcohol. These chemicals kill pathogens, thus preventing disease transmission. Some of the diseases that are caused by bacteria include Acne, Pneumonia, Whooping Cough and Tuberculosis. Viruses cause mumps, AIDS and yellow fever while parasites cause diseases like amebiasis. Fungi cause candidemia while protozoa amebiasis. Among these diseases, AIDS can be detected with approved CLIA-waved testing (Parmet,