Flashcards in status epilepticus Deck (11):
A child is seizing in the A:E department. What is the initial procedure?
A,BC and call for senior help. Gain IV access with two wide bore cannulas
what is your priority investigation?
check the blood glucose rule out hypoglycemia.
What medical treatment are you going to use?
what if you cannot gain IV access?
go for buccal midazolam or rectal diazepam
how long should you try for IV access?
10 minutes then go for intraosseous use lorazepam 0.1 mg/kg max of 4 mg
what if the benzodiazepines fail to control the seizure?
use phenytoin and if that fails you are getting the anaesthetist to put the child under GA.
what should you monitor at all times?
patient is stabilised what investigations are you goin to do?
try to find a focus?
when should treatment be started in status epilepticus?
with in 10 minutes of tonic clonic activity
definition of status epilepticus?
generalized tonic clonic movements lasting 30 minutes or more?