Pediatric Seizure

Question 1

Pediatric Seizure - Define a status seizure

Answer 1

2 or more seizures without regaining normal level of consciousness

Question 2

Pediatric Seizure - First actions

Answer 2

Maintain airway
Administer O2
Obtain BGL

Question 3

Pediatric Seizure - Patient actively seizing with normal BGL and Temp medication

Answer 3

Midazolam 0.2 mg/kg IN/IM to single max of 10 mg

Question 4

Pediatric Seizure - Midazolam indication

Answer 4

Active seizure

Question 5

Pediatric Seizure - IV Midazolam dose

Answer 5

Midazolam 0.1 mg/kg IV/IO to single max of 5 mg

Question 6

Pediatric Seizure - Midazolam EMS contraindiations

Answer 6

Hypersensitivity
Myasthenia gravis
BP < 70 + (2 x age) mmHg

Question 7

Pediatric Seizure - Midazolam may cause

Answer 7

Respiratory depression

Hypotension

Question 8

Pediatric Seizure - Intranasal administration

Answer 8

Deliver half the dose in each nostril

Question 9

Pediatric Seizure - IM/IN Midazolam dose

Answer 9

Midazolam 0.2 mg/kg IN/IM to single max of 10 mg

Question 10

Pediatric Seizure - Repeat IM/IN Midazolam dose

Answer 10

Unable to obtain vascular access

Midazolam 0.2 mg/kg IN/IM to single max of 10 mg