Status Epilepticus

Question 1

What is status epilepticus?

Answer 1

Defined as continuous seizure activity for 30 minutes or longer

Question 2

Is status epilepticus serious?

Answer 2

YES
Medical emergency
10-15% survival rate

Question 3

The __________the duration of seizure the greater the _____ of _________

Answer 3

1. Longer
2. Risk
3. Permanent cerebral damage

Question 4

What can happen in convulsive status epilepticus and what may it lead to (clue=kidneys)?

Answer 4

Rhabdomyolysis

AKI

Question 5

When is status epilepticus usually treated?

Answer 5

10 minutes

Question 6

Types of status epilepticus?

Answer 6

Can be:

• Convulsive
• Non convulsive

Question 7

Precipitants of status?

Answer 7

• Severe metabolic disorders
• Infection
• Trauma
• Abrupt withdrawal of AEDs
• Treating absence seizures with carbamazepine

Question 8

Management of status epileptcius?

Answer 8

Stabilize with ABC
Identify cause
-At 10 mins give IV lorazepam or buccal midazolam
-Wait 5 minutes, if not stopped give rapid onset anti-convulsant drug
-If no response can intensive care

Question 9

Rapid onset anticonvulsant?

Answer 9

Phenytoin

Question 10

What must you not give mor ethan 2 doses of?

Answer 10

Benzodiazepine

-Could cause respiratory distress

Question 11

If someone is status epilepticus and has suggestion of alcoholism or impaired nutritional status give them?

Answer 11

Thiamine