PEDIDOSE Seizure

Question 1

If not Actively Seizing..

Answer 1

• ALS/BLS General AG
• Consider Altered/Neuro/
  Overdose AG if indicated

Question 2

If Actively Seizing..

Answer 2

• Administer midazolam IM
• Do not delay administration to attempt IV access
• Do not check FSBG prior to treatment
• Consider OB/GYN AG if gestational age >20 weeks or up to 6 weeks postpartum

Question 3

<17 months

Answer 3

0.2 mg/kg (2.5mg MAX)

Question 4

17 months - 5 yrs

Answer 4

2.5mg

Question 5

6-11 yrs

Answer 5

5mg

Question 6

12-13 yrs

Answer 6

10mg

Question 7

Actions after IM Administration

Answer 7

• Obtain FSBG = Treat FSBG per Hypo/Hyperglycemia AG
• Obtain IV access to facilitate ongoing care
• Place on Supplemental O2, Cardiac Monitor & ETCO2

*Reassess and monitor VS

Question 8

If Seizure continues..

Answer 8

• Repeat IM Dose after 5 min
• Max total dose for patients under 14 yrs is 10 mg (must call for additional
  orders)

*Reassess and monitor VS

Question 9

Causes

Answer 9

Vascular: Stroke, AV Malformations
Infections
Temp/Trauma/Toxins
Autoimmune: Encephalitis
Metabolic: Diabetes
Idiopathic
Neoplasm
Drugs