Seizure (Adult) Flashcards
(22 cards)
Recite the Seizures CPG
What are the care objectives for Seizure?
- None for this guideline
What are the indications for Midazolam?
What are the contraindications for midazolam?
What are the precautions for Midazolam?
What are the side effects of midazolam?
Why do we use Midazolam in Seizures?
Fast acting benzo that helps stop seizures quickly - by enhancing the effect of GABA, the brains main inhibitory neurotransmitter - calming the excessive electrical activity in the brain
Does the O2 therapy guideline apply to a seizure presentation?
Yes - in status epilepticus
As it is a “critical illness”
Are there any relevant CWI’s in seizures
- Airway considerations
- Suction
- IM
- IV
- Preparing medications for adminsitration
What are 3 differential diagnoses for seizure?
- Alcohol withdrawal seizure
- Head injury (chicken or egg)
- Eclampsia (in pregnant women)
What are some care pathway/treatment options to consider
- Reassurance
- If patient has fully recovered consider treat and refer pathway
- Transport to hospital
- Reassessment
Now in the back of the ambulance - are there any other considerations?
MICA
* Can administer IV midazolam
* ETT
Consult/Clinician
* For seizures other tahn GCSE, midaz may only be administered following consultation via the AV clinician
* Can consult for further doses
* Continue to look for cause and reverse if able
* What is your scene time?
* How far is MICA - am I waiting or loading and going?
* How far is the hospital?
What are some secondary surveys to consider in seizures?
- AEIOUTIPS
What are the indications for IM administration
What are the contraindications for IM administration
What are the precations for IM administration
What are the indications for IV insertion
What are the contraindications for IV insertion
What are the precautions for IV insertion
What are the indications for medication administration
What are the contraindications for medication administration
What are the precautions for medication administration
