Seizure CPG

Question 1

What do you do for seizures that arent generalised SE?

Answer 1

If seizures are partial/not altering concious state and there is a long travel time/pt not responding to their medication, concult for doses of IM medazolam

Question 2

what effects can midzolam have on pregnancy?

Answer 2

crosses placenta and can have adverse affcts on foetus. Eclampsia is a life threatening condition to mother and Baby and im midazolam should be administered

Question 3

what should be considered at the start of this guideline

Answer 3

status epileptics
other causesm hypoxia, TBI, hypoglycemia and should be mangaed
Pts own medications/managment administered

Question 4

if there is suspected subtile SE what is the action?

Answer 4

consult for Midazolam and time critical transport

Question 5

what to do if seizure activity has ceased?

Answer 5

use treat and refer guidleine

Question 6

what is the action for generalised convulsive SE?

Answer 6

IM midazolam 10mg
or

elderly, frail <60kg 5mg IM (repeated once at 5min if required)

Question 7

if there is no response after 10minutes what is done?

Answer 7

repate 10mg IM once if pt not elderly, frail or <60kg
consult for further doses
monitor airway and breathing