Seizures: Acute Management

Question 1

What are the basics of seizure management?

Answer 1

1. Check the airway and apply oxygen if appropriate
2. Place the patient in the recovery position
3. If prolonged give benzodiazepine

Question 2

What does the BNF recommend giving?

Answer 2

Rectal diazepam

Question 3

When and how often can you repeat it?

Answer 3

Once after 10-15 minutes

Question 4

What is the dose of Diazepam by age.

Answer 4

• Neonate 1.25-2.5mg
• Child
  
  • 1 month to 2 years - 5mg
  • 2 years to 12 years - 5-10mg
  • 12 years to 18 years - 10mg
• Adult 10-20mg
• Elderly 10mg