Status Epilepticus

Question 1

what is it?

Answer 1

Status Epilepticus is a life threatening disorder where a seizure lasts for more than 5 minutes, or seizures follow one another without a chance to recover

Question 2

Emergency Management?

If still no response after 25 minutes from onset then add?

Answer 2

Remove from Harm,
ABCDE Approach,
IV Lorazepam if access (Repeated after 10 minutes if no response)

Phenytoin Sodium and contact ICU

Question 3

IV or IM medication administration?

if unable to gain IV access?

Answer 3

IV as IM is too slow

rectal diazepam

Question 4

Rescue medication may be prescribed in individuals susceptible to Status Epilepticus:

Answer 4

Buccal Midazolam or Rectal Diazepam?

Question 5

if patient is pregnant?

Answer 5

if so, eclampsia (seizures) is the likely diagnosis