Tonic-clonic seizures are a severe type of seizure. The seizure is typically associated with memory loss, a change in mood, physical pain, and confusion. It is very important to call emergency services if you or a loved one is experiencing a tonic-clonic seizure.Seizure nursing interventions are aimed at eliminating potential triggers, maintaining safety during the episode, and educating the patient on the symptoms of the disorder. This can reduce fear and anxiety about the condition.An epilepsy diary can help a patient recognize patterns of seizure activity. In addition, teaching relaxation techniques can promote positive feelings and enhance the ability to control the condition.Patients having seizures should be kept in a safe environment and protected from aspiration. Some of the precautions include using pillows, placing objects under the head, and removing items from the mouth. Epilepsy Alarms During the seizure, the person should be placed on his or her side. This is beneficial because it prevents airway obstruction and aspiration.During the first stage of a seizure, the patient should be monitored for signs of toxicity. These signs include nystagmus, dizziness, ataxia, and slurred speech. A blood pressure check is also necessary.If the seizure lasts for more than five minutes, the patient should be administered an anticonvulsant immediately. Medications are generally effective in about 70 percent of adults.When a patient has a tonic-clonic seizure, the nurse will need to monitor his or her vital signs. A temperature reading will also be taken.