Just some notes to be updated later …
- Admitted to A & E following 3 seizures
- Had another seizure whilst waiting in corridor of A&E
- Taken for Head CAT Scan
- Taken to observation room awaiting xfer to ward
- Taken to Acute Medical Ward
- Under observation
- Cause of Problem not identified/confirmed
- Family suggested electrolyte imbalance (a side effect of using omeprazole is lowering of Magnesium which in turn affects Sodium and Potassium levels which causes seizures)
- Bloods confirmed low/high levels of electrolytes but Doctor says not enough to cause seizures
- Doctor reluctant to accept this as feasible or likely and pursuing other avenues
- Nil-by-Mouth and PEG tube might be possible cause of problems and so not used to feed/water patient
- Patient on IV drips - Saline, Glucose and other Meds
- Possible causes discussed including introduction of Omeprazole as medicine, side-effects thereof, stress, lack of sleep and infected PEG tube
- Seen by PEG specialist on Day 3
- PEG might not be problem, but agreed to do X-ray to confirm location
- X-ray done
- No results discussed, patient remains in IV drips
- It has been noted that magnesium suphate is being given by IV and it so happens that low magnesium levels (hypomagnesemia) which cause seizures can be treated by magnesium sulphate - maybe a coincidence
- On anti-seizure medication (Levetiracetam) also being given
- On day 4, it has been suggested PEG is OK to use and so finally patient has started being fed.
- Patient is very weak due to age, time spent in bed and no food or water other then IV hydration.
- Patient may also be displaying “typical” behaviour of patients of this age in this condition
- Patient has gone mute and not said a word after request to change pad was finally answered on Day 1.
- Patient has slept well or better than has done for some time prior to seizures
Tomorrow is another day in this patients life.
Until tomorrow!
