Proposed Algorithm for Convulsive Status Epilepticus Form
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People also ask
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What is the approach to the treatment of convulsive status epilepticus in adults?
In adults with convulsive status epilepticus, intramuscular midazolam, intravenous lorazepam, intravenous diazepam and intravenous phenobarbital are established as efficacious as initial therapy (Level A).
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What is the approach to the treatment of convulsive status epilepticus in adults?
In adults with convulsive status epilepticus, intramuscular midazolam, intravenous lorazepam, intravenous diazepam and intravenous phenobarbital are established as efficacious as initial therapy (Level A).
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How do you treat emergency status epilepticus?
The immediate management of convulsive status epilepticus includes securing the patient's airway, giving oxygen, and monitoring cardiac and respiratory function. Underlying causes should be managed appropriately.
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What is the criteria for convulsive status epilepticus?
If you have epilepsy , you may have seizures again and again. You may have status epilepticus if you have a seizure that lasts longer than 5 minutes, or if you have more than one seizure without returning to a normal level of consciousness between episodes. This is a medical emergency.
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What is the first line treatment for convulsive status epilepticus?
Early treatment of convulsive status epilepticus is associated with reduced morbidity and mortality and with a greater proportion of terminated seizures at arrival at the hospital emergency department [14–16]. The first-line treatment of status epilepticus is currently benzodiazepines.
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What is the emergency treatment algorithm for convulsive status epilepticus?
The algorithm follows four phases: (1) stabilization phase (zero to five minutes) with monitoring and management of vital signs in addition to laboratory testing; (2) first-line therapy phase (five to 20 minutes) with administration of benzodiazepines (BZDs); (3) second-line therapy phase (20 to 40 minutes) with ...
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What is the algorithm of treatment of status epilepticus?
If seizures persist, at 5 minutes first line benzodiazepine drug therapy should be administered. If the patient has IV access, 4mg of IV lorazepam should be administered (DOSE 1). If after a further 5 minutes the seizure has not terminated a second 4mg of IV lorazepam can be administered (DOSE 2).
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How do you treat convulsive status epilepticus?
In the stabilization phase, standard first-aid for seizures should be initiated. In the initial therapy phase, a benzodiazepine (specifically IM midazolam, IV lorazepam, or IV diazepam) is recommended as initial therapy. In the second phase, options include IV fosphenytoin, valproic acid, or levetiracetam.
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