22. Status epilepticus

Question 1

What is status epilepticus?

Answer 1

Recurrent episodes of tonic-clonic seizures w/o regaining consciousness/normal mus. move. between episodes. Neurologic emergency.

Question 2

Management

Answer 2

ABC, fingerstick glucose, IV access, lab. studies
Thiamine IV –> dextrose infusion –> lorazepam 0,1 mg/kg IV or diazepam
IF NOT WORKING
1) Phenytoin 20 mg/kg IV
2) Phenobarbital 20 mg/kg IV
3) Induce coma w/barbiturates, midazolam, or propofol