AMS, Glucose, Serizures Flashcards
Infant or child with glucose level of less than 60 mg/daL.
Newborn with glucose level less than 40 mg/daL
Treatment-newborn
D10 W, 2 mL per kilogram via IV
Infant or child with glucose level of less than 60 mg/daL.
Newborn with glucose level less than 40 mg/daL
Treatment-Neonate
D10 W, 5 mL per kilogram via IV
Infant or child with glucose level of less than 60 mg/daL.
Newborn with glucose level less than 40 mg/daL
Treatment-Child less than two years old
D10 W, 5 mL per kilogram via IV
Infant or child with glucose level of less than 60 mg/daL.
Newborn with glucose level less than 40 mg/daL
Treatment-Child more than two years old
D25 W, 2 mL per kilogram via IV
First-line drug for seizures
Benzodiazepines
Diazepam
Lorazepam
Midazolam
Diazepam initial dose and duration of action
0.1 mg per kilogram
Short duration of 15 minutes seizure control
Midazolam initial dose and duration
IV - 0.1 mg per kilogram
IM - 0.15 mg per kilogram
IN- 0.2 mg per kilogram (maximum dose of 10 mg)
Medium duration of action- 30 to 120 minutes seizure control
Lorazepam initial dose and duration
0.05-0.1 mg per kilogram
Long duration of action-12 to 24 hours seizure control
What is the rectal dose and duration of diazepam
0.5 mg per kilogram
Short duration of action-15 minutes seizure control
If the child is on ___________ or has received other benzodiazepines in the previous few hours, consider ______ the normal dose of diazepam to minimize the risk of respiratory depression.
phenobarbital
half
TICLS
Tone, Interactiveness, Consolability, Look or Gaze, and Speech or Cry
KVO rate
Keep vein open
10 ml/hr Normal Saline
KVO rate
Keep vein open
10 ml/hr Normal Saline
What is hypoglycemia in a newborn and child
Newborn-less than 40 mg/daL
Child-less than 60 mg/daL
__________________ is preferred as the first-line drug in neonates at a dose of __________ and is a second-line drug for infants and children.G
Phenobarbital
20 mg/kg
