Neuro-ICU Flashcards
1
Q
Treatment of Seizures and status?
A
The patient is suffering from status epilepticus. Status epilepticus refers to an epileptic seizure that lasts more than 5 minutes or a constant or near-constant state of having seizures. Initial therapy for status epilepticus should include a benzodiazepine medication such as lorazepam. Alternative medications would include diazepam or midazolam.
Treatment of status epilepticus in real life may differ from what is tested on the boards. Most of the time the order of progression will begin with lorazepam, then phenytoin, then phenobarbital, then propofol with patient intubated.
