2024 Senior Care Conference Session 4B Pre-test Seizures Which of the following individuals might present with the highest risk for seizure clusters?(Required) 67-year-old with focal epilepsy well controlled on levetiracetam 58-year-old with generalized epilepsy managed on lamotrigine 62-year-old with cortical dysplasia and treatment resistant epilepsy 68-year-old diabetic patient with history of generalized seizure due to hypoglycemia A 14-year-old (70 kg) seventh grader has been known to have seizure clusters, even while attending school. The clusters are usually short lived and do reoccur more than once within a 4 hour period. His mother has previously supplied a prescription and rectal diazepam supply for the school nurse to use if needed. What recommendation might you make at this time?(Required) Continue with rectal diazepam as it has proven to be effective for him Recommend switch to intranasal midazolam as it is easy to use and has no privacy issues Continue diazepam but switch to intranasal diazepam as it is needed to cover the period of recurrence Recommend transfer to emergency room after each episode as quickly as possible The medical director at a long-term care facility (skilled nursing facility) would like the pharmacist's input on how to properly educate the staff on epilepsy medication management and monitoring of at-risk residents. Which of the following should a pharmacist discuss?(Required) Education of staff on risk reduction of hypernatremia and hyperglycemia Documentation sharing of acute seizure action plans by resident Recommend all residents have a rescue agent available on the medication carts Provide required in-depth training on the rescue agents Δ
