Status epilepticus treatment

Question 1

Status epilepticus (define)

Answer 1

• continuous seizure for > 5 mins

(old def: > 15-30 mins)

OR

≥2 seizures within 5 mins without regaining consciousness

Question 2

Status epilepticus

Tx:

Answer 2

Tx:

Benzodiazepines (Diazepam, Lorazepam, Midazolam) – 1st line - Thiopental, Pentobarbital,

general anaesthesia – if 1st line fails

Question 3

• Status epilepticus*
• Name treatment in order:*

Answer 3

Status epilepticus is a continuous seizure status for more than 15-30 mins

● When seizure attack – Lorazepam, if persisted ⇨ Phenytoin or

Fosphenytoin, can be repeated

● if still persisted after 20-30 mins⇨ Phenobarbital + intubation

● If lasting more than 60-90mins ⇨ Midazolam, Propofol, Pentobarbital