Rebecca Wallace is a 26-year-old woman who is brought to the Emergency Department (ED) by ambulance accompanied by her husband. The patient is unconscious, having tonic-clonic movements and is incontinent of urine. The husband states that his wife had two seizures at home before the ambulance arrived. The patient has a history of seizure disorder and currently takes phenytoin and valproic acid. The husband states he has been out of town for the past two days and does not know if his wife took her medication. 1. What type of seizure activity is the patient exhibiting and what is the most likely cause? 2. What are your priority actions upon the patients arrival in the ED? 3. What drug therapies do you expect the patient will receive? 4. Within several hours of admission and treatment, Rebeccas condition stabilizes. What should you assess at this point? 5. Over the next few days, what education will Rebecca need in regard to her diagnosis and continuing treatment?.

1. Rebecca Wallace is a 26-year-old woman who is brought to the Emergency Department (ED) by
ambulance accompanied by her husband. The patient is unconscious, having tonic-clonic
movements and is incontinent of urine. The husband states that his wife had two seizures at
home before the ambulance arrived. The patient has a history of seizure disorder and currently
takes phenytoin and valproic acid. The husband states he has been out of town for the past two
days and does not know if his wife took her medication.
1. What type of seizure activity is the patient exhibiting and what is the most likely cause?
2. What are your priority actions upon the patients arrival in the ED?
3. What drug therapies do you expect the patient will receive?
4. Within several hours of admission and treatment, Rebeccas condition stabilizes. What should
you assess at this point?
5. Over the next few days, what education will Rebecca need in regard to her diagnosis and
continuing treatment?