CLINICAL MANAGEMENT GUIDELINE

Status epilepticus

ICD10: Epilepsy, unspecified, intractable, with status epilepticus [G40.911]

Treatment: Aborting Seizures - pediatric dosing

It's a serious and life-threatening neurological disorder which is defined as a prolonged generalized epileptic crisis for more than ≥ 5 minutes without intervening recovery within the episode.

Generalized convulsive (tonic-clonic seizures) status epilepticus is a more common presentation than the non-convulsive type (altered awareness/confusion).


NOTE:

  • Should be initiated immediately.
  • Underlying conditions should be treated.
  • Should initiate basic life-support measures (airway, breathing, circulation, disability, and neurological assessment). add a new clinical goal
  • Basic vitals should be checked.
  • laboratory studies (liver function, renal function, electrolytes, calcium, phosphorus, magnesium, FBC, toxicology, serum glucose, thiamine, and serum anticonvulsant medicine levels).

Treatments

Level 1 / 3
pharmacological
Lorazepam
ROUTE
IV/IO
DOSE
0.100 mg
FREQUENCY
Q 10 min

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  • Duplicating mechanism of action of effect
  • Weight based dosing
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