Status Epilepticus Flashcards
(7 cards)
1
Q
1: Impending treatment
A
0-30min
Lorazepam (IV, Lipophilic can cross BBB)
Midazolam (IM, IN, Buccal)
Diazepam (rectal)
2
Q
2: Established treatment
A
30-60 min
1: Hydantoins (Phenytoin/Phosphenytoin)
2: Phenobarbital & Valproate
3: Lacosaminde & Levatiracetam
3
Q
3: Refractory treatment
A
> 120min
1: Midazolam (anesthetic dose)
2: Pentobarbital
3: Proprofol (only effective during infusion)
4
Q
4: Super refractory options
A
> 24hrs
Drugs: Ketamine, Lidocaine, Topiramate, Inhaled anesthetic, steroids/IVIg
Other: Hypothermia, Ketogenic diet, Vagal nerve stim.
5
Q
Phosphenytoin advantages
A
No prophylene glycol
Decreases cardiac ADE/risk
6
Q
Children treatment
A
Treat quicker & move up quicker
7
Q
Evaluating for cause
A
Glucose Electrolytes (Ca/Mg) ABGs/pH CBC Urine/blood tox Antiseizure med levels
