Seizure

Question 1

Midazolam for seizure

Answer 1

• Patients >40 KGs 10mg IM, may repeat x1 (preferred), alternatively 5mg
  IV, may repeat x1
• Patients 13-40 KGs 5 mg IM, may repeat x1, alternatively 2.5 mg IV, may
  repeat x1
• Call for further orders if patient still seizing after 2 doses for possible Midazolam gtts

Question 2

Levetiracetam (Keppra) in seizures (Adult & Peds)

Answer 2

30 mg/kg IVP loading dose up to a max dose 1500 mg

Question 3

Midazolam for seizure (Peds)

Answer 3

0.2 mg/kg IV/IO/IN/IM & repeat q 5 mins for prolonged or recurrent seizure activity. Max single dose 5 mg

Question 4

Seizure Treatment (Adult)

Answer 4

• Protect patient from injury and aspiration
• Consider sidestream ETCO2
• Check for pulse immediately after seizure stops
• Verify blood glucose level, see Altered Mental Status protocol for glucose
  administration
• Midazolam
• Levetiracetam (Keppra)

Question 5

Seizure treatment (Peds)

Answer 5

• Follow AMS protocol for D10 Administration
• Midazolam
• Levetiracetam (Keppra)