Neonatal seizures **** Flashcards
1
Q
When do they usually occur?
A
12-48 hours after birth
2
Q
Causes
A
Hypoxic-ischaemic encephalopathy Infection Intracranial haemorrhage/infearction Structural CNS lesions Metabolic disturbance Metabolic disorders Neonatal withdrawal
3
Q
Diagnosis - what signs would you looks for? What can be used to confirm it?
A
Subtle e.g. lip smacking, limb-cycling, eye deviation, apnoea’s
EEG can confirm seizure activity
4
Q
Treatment - general
A
ABC
Turn on side
Rule our/treat reversable causes such as hypoglycaemia
Start antibiotics
Insert IV access and take blood for FBC, U&E, LFT’s, calcium, magnesium, flucose and blood gas
5
Q
Treatment for seizures lasting more than 5 minutes:
- First line
- Second line
- Hypoglycaemia
A
PhenobarbitaL
Phenytoin
Calcium gluconate
