PREPARATION OF PATIENT AND ASSISTING WITH

ELECTROENCEPHALOGRAM

DEFINITION

Recording of electrical activity of the brain , using multiple electrode on the scalp . brain
waves may be recorded at rest after hyperventilation , with photic light stimulation and
during sleep.

PURPOSES

To assess the diagnoses

 Seizures
 Brain tumors
 Brain abscess
 Subdural hematoma
 Cerebral infracts
 Intracranial haemorrhage
 Alzheimer disease
 Metabolic disorders
 Mental retardation
 Drugs overdoses

PROCEDURE : THE PROCEDURE IS PERFORM IN THE SPECIAL UNITS

s.no Nursing action Rationale

1. Explain procedure to the patient and instruct that Help is obtaining cooperation of
no shock will be applied and it is painless the patient
procedure

2. Obtain an informed consent Protect staff and institute from

ligalities
3. Withhold medication such as anti convulsant , This may alter the brain waves
 stimulants , transquilizers and depressants for activities
24-48 hours before the procedure

4. Withhold tea cola and chocolates before the This procedure may stimulate
procedure . smoking should be restricted for brain activity
24hrs before the procedure

5. Wash patient hair thoroughly with shampoo and Oil interferes with the conduction
dry hair completely about 6hr prior to the of electrical activities
procedure . tell patient not to apply conditioners
or oil after shampooing

6. If sleep study is ordered , the adult patient should Induce sleep to the patient during
sleep as little as possible the night before the test

7. Food should be with held Decrease in blood glucose level

interferes with brain activity
8. Make the patient to lie in a recumbent position
and fasten electrodes to the scalp

9. Instruct patient to lie still during procedure Movement may affect the
recording
10. After the procedure is done record the procedure
in nurse record with date , time and patient
response to the procedure

POST PROCEDURE CARE

 Allow the patient to rest after the test . if a sedative was given during the test , raise
bedside rails
 Tell patient that skin irritation from the electrode usually disappears within few hours
 Wash hair after the test
 If a repeat testing is necessary , provide explanation and support to the patient
 Watch for seizures
 Obtain fresh order to resume drugs if they were withheld for procedure
 REFERENCES :

BOOKS:
 BM Joyce. Medical Surgical Nursing, 7th edition, volume-2, Elsevier publication.
 Suddarth’s & Brunner. “Textbookl Of Medical Surgical Nursing”.12th
edition.Volume1.Published by Wolters Kluwer.
 J,Alkhoudairy Cynthia, Prescher – Hughes Debra. “Clinical Practice Protocols In
Nursing”. Jones and Barlett publishers.
 Phipps. “Medical Surgical Nursing”.8th edition.Published by Elsevier,a division of
Reed Elsevier India Pvt Limited.
 Kozier, B. et. al. 2008. Kozier and Erb’s Fundamental of Nursing Concepts, Process,
and Practice. Pearson Education Inc. Prentice Hall. Upper Saddle River, New Jersey.
8th edition.

NET INFORMATICS:
 https://www.nhs.uk/conditions/electroencephalogram/
 https://en.wikipedia.org/wiki/Electroencephalography
 https://www.healthline.com/health/eeg
 https://www.nhs.uk/conditions/electroencephalogram/

ARTICLE :

https://imotions.com/blog/top-5-eeg-research-articles
 https://www.sciencedirect.com/science/article/pii/S1877705812022114

JOURNAL :

 https://www.omicsonline.org/.../electroencephalography-journals-articles-ppts-list.php
 journals.sagepub.com/home/eeg