Seizure/Status Epilepticus:

Question 1

Seizure/Status Epilepticus:
Peds
Lorazepam

Answer 1

0.1mg/kg IV/IM

Question 2

Seizure/Status Epilepticus:
Adult
Lorazepam

Answer 2

2-4mg IV/IM q5-10min

Question 3

Seizure/Status Epilepticus:
Peds
Diazepam

Answer 3

0.2 mg/kg IV, q5min (max 30mg)
diastat: 0.5mg/kg PR

Question 4

Seizure/Status Epilepticus:
Adult
Diazepam

Answer 4

10mg IV q5min (max 30mg)

diastat: 10mg PR

Question 5

Seizure/Status Epilepticus:
Peds
Midazolam

Answer 5

0.15-0.2mg/kg IV/IM q10-15min

Question 6

Seizure/Status Epilepticus: *IV/PR faster absorption than IM
adult
Midazolam

Answer 6

5-15mg IV/IM q10-15min

Question 7

Seizure/Status Epilepticus:

Fosphenytoin

Answer 7

20mg PE/kg IV load: rate 50mg PE/min

Question 8

Seizure/Status Epilepticus:

Phenytoin

Answer 8

20mg/kg IV: SLOW max rate 1mg/kg/min

Question 9

Seizure/Status Epilepticus:

Phenobarbital

Answer 9

20 mg/kg IV: SLOW max 1mg/kg/min

Question 10

Seizure/Status Epilepticus: *IV/PR faster absorption than IM

Glucagon Peds

Answer 10

0.1mg/kg IM/IV q20mins (if >20kg, 1mg)

Question 11

Seizure/Status Epilepticus: *IV/PR faster absorption than IM

Glucagon Adult

Answer 11

Glucagon 1mg IM/IV q20mins prn

Question 12

Seizure/Status Epilepticus: *IV/PR faster absorption than IM

Hypertonic Saline 3% (for HypoNa seizure only)

Answer 12

4-6ml/kg/hr
Other option for adults:100cc bolus x2 q10mins (each will raise Na by 2-3 mEq)
Once seizure resolves, reduce rate of correction to 0.5-1mEq/hour, and the total rise in sodium should not exceed 10mEq/24 hours.

Question 13

Seizure/Status Epilepticus: *IV/PR faster absorption than IM

Suggested PEDS Status in escalation order:

Answer 13

Lorazepam x2, fosphenytoin 20mg PE/kg, phenobarb 20mg/kg x2, fosphenytoin 7mg PE/kg, intubate and propofol gtt