Template:Seizure actively seizing management: Difference between revisions
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===Actively Seizing=== | ===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 | #[[Benzodiazepine]] | ||
#*[[Lorazepam]] 2mg IV (first line)<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 | #**[[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) | #**[[Diazepam]] PR 0.5-1.0mg/kg (up to 20mg) | ||
#'''See [[status epilepticus]] if persistent seizure''' | |||
Revision as of 13:29, 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
- Benzodiazepine
- See status epilepticus if persistent seizure
- ↑ 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