Status epilepticus (peds): Difference between revisions
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==Evaluation== | ==Evaluation== | ||
===Workup=== | ===Workup=== | ||
* Check a blood glucose | |||
* Consider an electrolyte panel, a blood gas, CBC, calcium level, LFTs | |||
* If appropriate collect anticonvulsant drug levels | |||
* Consider blood & urine culture | |||
===Diagnosis=== | ===Diagnosis=== | ||
Revision as of 23:29, 2 October 2022
Background
For a child over 1 month of age
- Defined as: an unresponsive patient with either one of the following
- Seizure >5 min and/or ongoing seizure on presentation
- 2 or more seizures without full recovery of consciousness between seizures
Clinical Features
Differential Diagnosis
Evaluation
Workup
- Check a blood glucose
- Consider an electrolyte panel, a blood gas, CBC, calcium level, LFTs
- If appropriate collect anticonvulsant drug levels
- Consider blood & urine culture
Diagnosis
Management
- ABC's
- Provide O2 via non-rebreather mask, 10-15 L/min
- Give benzodiazepines as early as possible
- Monitor for respiratory depression
- Give acetaminophen 15 mg/kg/dose (MAX 650 mg) if febrile