Which points should be included when the mother of an epileptic child is being counseled? select all that apply?

There are choices for this question namely:

1. The child should wear a medical alert bracelet.
2. The child should be given valproic acid with milk to reduce gastric irritation.
3. The parent should keep a journal of signs and symptoms before, during, and after seizures.
4. The child should discontinue the drug immediately and the parent should notify the primary healthcare provider if a rash develops.
5. The parent should understand that chewable forms of antiepileptic drugs are recommended for once-a-day administration.

The correct answers are 1, 3, and 4. Having the child to wear a medical alert bracelet leads to easy information to the surroundings and healthcare practitioners as this can be helpful in identifying emergency situations. Having a journal of signs and symptoms before, during, and after seizures are helpful especially in providing the patient's healthcare provider with accurate information. If a rash develops, the child should discontinue the drugs as this can be a sign of allergic reactions that may progress to anaphylaxis and ultimately anaphylactic shock. Valproic acid should not be mixed with milk as this won't reduce the irritation but will aggravate the mucosal irritation. Chewable forms of anti-epileptic drugs are not recommended for once a day administration.

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