Understanding Epilepsy and Administration of Midazolam Test Paper
 
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There are 77 correct answers across 25 questions. You need to score 55 to pass. 

A person with epilepsy...
May only have one type of seizure
May have several different types of seizure
Will have seizures that will always become tonic-clonic
Will usually have seizures that stop by themselves
The characteristics of a tonic phase (of a tonic-clonic seizure) are...
Rigid body
Jerking
Not breathing
Fussing with clothes
Unconsciousness
The characteristics of the clonic phase (of a tonic-clonic seizure) are...
Wandering around
Jerking
Unconsciousness
Abnormal breathing
A strange taste
Epilepsy can be caused by...
Head injury
Brain infection
Stroke
Developmental defects
Anti-epileptic drugs...
Are used to control epilepsy more often than surgery
Control epilepsy in the majority of cases
Need to be taken regularly
Always prevent the seizures
Known triggers for seizures are...
Lack of sleep
Anxiety/stress
Alcohol/illegal drugs
Missing anti-epileptic drugs
At the start of a seizure you should always...
Put something between the person's teeth
Go for help
Note the time
Stay with the person
During a seizure you should...
Clear a space around the person
Give them a drink
Protect the person's head
Protect the airway
You should call an ambulance if...
The person is injured beyond first aid
The seizure is prolonged and the person has not been prescribed emergency medication
The person is drowsy but OK
The emergency medication protocol was followed but the emergency medication has not stopped the seizure
It is the person's first seizure
Status Epilepticus can...
Lead to brain damage
Be fatal
Be convulsive
Occur in absence and focal seizures
Which of the following tests look at electrical BRAIN activity to help diagnose epilepsy...
Blood tests
ECG
Urine test
EEG
Signs that a tonic-clonic seizure has stopped are...
Jerks are further apart
Jerking has stopped
Normal breathing returns
Person holds their breath
Their colour improves
After a seizure you should...
Put the person in the recovery position if appropriate
Leave the person unattended to recover
Check airways and breathing
Record the seizure
On an emergency protocol you would find...
Name of the person
Person's blood group
Dose and type of medication
Doctor's/health professional's signature
You can only administer emergency medication if...
You are trained to do so
The medication is in date
It is prescribed
The emergency protocol has been signed by a prescribing professional e.g. doctor or nurse
Side effects of emergency medication can be...
Drowsiness
Visual distruption
Disorientation
Breathing slowed
Weight gain
Possible difficulties in the administration of buccal midazolam are....
Incontinence
Excessive saliva
Facial injury
Diarrhoea
Vomit
Having epilepsy can make a person more likely to develop...
Generalised anxiety disorder
Asthma
Diabetes
Depression
Obsessive compulsive disorder
Midazolam should be absorbed in the buccal cavity, found....
Between the lower cheek and gum
Beside the teeth
Under the tongue
On the lips
The dose should be split between both cheeks to allow the medication a greater area for absorption, however, it is acceptable to deliver the whole dose in one place if...
Access is restricted, e.g. the person has become trapped under furniture
They have sustained a facial injury on one side
The person has tipped onto their side and can not be maneuvered into a better position
Their movements are such that administering to one side appears quicker, and safer
Individual risk assessments should cover...
Storage of medication
Disposal of medication
Recording of medication
Transport of medication
How to handle suspected overdoses
Staff training in place
We avoid delivering midazolam onto the teeth because...
It destroys the enamel of the teeth
Teeth do not absorb medication
Midazolam causes toothache
A second dose can be given if...
The emergency protocol says it can be delivered if the first dose is unsuccessful
A medical professional, e.g. paramedic, instructs you to do so
The person's parent/guardian says it's necessary
You administered the first dose but it was only partially absorbed e.g. the person vomited shortly after administration
You are in a rush to move the person
Medication checks should include...
Expiry date
The colour and transparency of the mediation (if possible)
Dosage
Tamper-proof seals and stickers
Medication records and date/time of last dose
How much medication is in this syringe?
1ml
0.5ml
0.55ml
0.6ml
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