status epilepticus

Question 1

status epilepticus - ddx to consider (6)

Answer 1

electrolyte/endocrine

• hyponatraemia
• hypoglycaemia

pressure

• raised intracranial pressure
• hypertensive crisis

other

• infection
• cerebral hemorrhage

Question 2

status epilepticus - initial managemeent

Answer 2

1. maintain airway
2. supplemental O2
3. establish vascular access
4. IV midazolam 0.15mg/kg, max 10mg stat
   or
   IM midazolam 0.15mg/kg, max 10mg, stat

Question 3

status epilepticus - when to repeat midazolam, and what to prep next

Answer 3

after 5 minutes if still fitting

also get IV phenytoin ready 20mg/kg over 20 mins