Seizure - Neurological

Question 1

If a patient is in seizure what is the first treatment priority?

Answer 1

ABCs - adequate oxygenation and ventilation

Question 2

If a patient in third trimester or post partum is in seizure which MDSO should you refer to?

Answer 2

Pre-eclampsia/Eclampsia medical directive

Question 3

What’s the first medication for a patient in seizure?

Answer 3

Midazolam
5mg IV q5 min PRN
10mg IM q5 min PRN

Question 4

If a seizure fails to stop after you’ve administered 10mg Midazolam IV/IO what 2 medications should you patch for?

Answer 4

Phenytoin (Dilantin) using a 0.2 micron filter
OR
Propofol (prepare to intubate)