Template:Seizure actively seizing management: Difference between revisions
(Created page with "===Actively Seizing=== *Protect patient from injury **If possible place patient in left lateral position to reduce risk of aspiration **Do not place bite block **Ensure clear...") |
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**Ensure clear airway after seizure stops | **Ensure clear airway after seizure stops | ||
*[[Lorazepam]] 2mg IM or IV (or another [[benzodiazepine]])<ref>Treiman D, Meyers P, Walton N, et al. A comparison of four treatments for generalized convulsive status epilepticus. New Engl J Med 1998; 339; 792-798</ref> | *[[Lorazepam]] 2mg IM or IV (or another [[benzodiazepine]])<ref>Treiman D, Meyers P, Walton N, et al. A comparison of four treatments for generalized convulsive status epilepticus. New Engl J Med 1998; 339; 792-798</ref> | ||
====No IV==== | |||
*[[Midazolam]] IM 0.2mg/kg<ref>McMullan J, Sasson C, Pancioli A, Silbergleit R: Midazolam versus diazepam for the treatment of status epilepticus in children and young adults: A meta-analysis. Acad Emerg Med 2010; 17:575-582</ref> OR | |||
*[[Diazepam]] PR 0.5-1.0mg/kg (up to 20mg) | |||
Revision as of 13:21, 25 August 2015
Actively Seizing
- Protect patient from injury
- If possible place patient in left lateral position to reduce risk of aspiration
- Do not place bite block
- Ensure clear airway after seizure stops
- Lorazepam 2mg IM or IV (or another benzodiazepine)[1]
No IV
- ↑ Treiman D, Meyers P, Walton N, et al. A comparison of four treatments for generalized convulsive status epilepticus. New Engl J Med 1998; 339; 792-798
- ↑ McMullan J, Sasson C, Pancioli A, Silbergleit R: Midazolam versus diazepam for the treatment of status epilepticus in children and young adults: A meta-analysis. Acad Emerg Med 2010; 17:575-582