CPG - A0703 - Seizures

Question 1

what defines status epilepticus?

Answer 1

> 5 mins of continous seizures or multiple seizures without full recovery of consciousness

Question 2

Generalised COnvulsive Status Epilepticus (GCSE) is characterised by what?

Answer 2

generalised tonic-clonic mvmts with altered conscious state

Question 3

what can midaz effect?

Answer 3

BP, CS, Ventilations and airway tone

Question 4

what management is required for seizure activity that has ceased?

Answer 4

• monitor airway and ventilation, cs and BP
• If subtle SE suspected consider TCG and consult midaz
• consider treat and refer

Question 5

What do you do for Generalised COnvulsive SE?

Answer 5

• manage airway and ventilation as required
• if airway patent, administer high flow O2
• Midaz 10mg IM
  (5mg if frail)

Repeat once @ 5 mins if required

Question 6

what do you do if the patient is unresponsive after 10 mins?

Answer 6

if pt has had full dose and not frail repeat 10mg IM Midaz once.

-> consult for more doses

Question 7

what is the paediatric management of GSCE?

Answer 7

• manage airway
• Midaz IM
• > medium child (5-11) 2.5-5mg IM
• > small child (1-4) = midaz 2.5mg IM
• > Small & Large infant (<12 mths) = Midaz 1 mg IM
• > newborn = Midaz 0.5mg IM

Repeat once after 10 mins without resolutions