Module 5 - Part 4

Question 2

EMERGENCY DEPARTMENT CARE For Status Epilepticus

Answer 2

• Benzodiazepines are first line treatment
• Diazepam (0.15mg/kg) or Lorazepam (0.1mg/kg)
• Administered IV over 5 minutes
• Followed by Phenytoin or Fosphenytoin ( more
  preferred)

Question 3

Why should you Never mix phenytoin with 5% dextrose solution

Answer 3

To avoid crystal precipitation
Fosphenytoin

Question 4

If Seizure continues, consider giving General anesthesia such as:

Answer 4

Propofol, midazolam or pentobarbital

Question 5

Never give Valproate and Benzodiazepines intramuscularly T/F

Answer 5

True

Question 6

Generate numerical summed score for eye, motor
and verbal abilities

Answer 6

GLASSGOW COMA SCALE SCORE

Question 7

GLASSGOW COMA SCALE SCORE 13-15

Answer 7

Mild Injury

Question 8

GLASSGOW COMA SCALE SCORE 9-12

Answer 8

Moderate Injury

Question 9

GLASSGOW COMA SCALE SCORE >8

Answer 9

Severe injury

Question 10

Laboratory Assessment for Brain injury

Answer 10

Sodium levels
*Magnesium levels
*Coagulation studies
*Blood alcohol
*Renal function test and Creatinine kinase levels
*Neuron-specific enolase and protein S-100B