status epilepticus treatment

Question 1

a patient comes in status epilepticus. what is the first thing you do.

Answer 1

get temp and o2 on the patient while you draw up midazolam (benzodiazepine)

Question 2

what is the drug protocol

Answer 2

give a benzo three times every 30 ish seconds. if that fails
propofol CRI to effect.
then longterm seizure medication

Question 3

patient of unknown status comes in seizuring. you stop the seizure and want to put on longterm drug. what do you chose.

Answer 3

keppra. until blood work comes back about liver values. then if safe will switch to phenobarb because it is better.

Question 4

okay you have given drugs and stopped the seizure. now what

Answer 4

treat systemic signs, hyperthermia, hypertension, hypovolemia, acidosis, o2 status

Question 5

you give your long acting seizure medication during treatment and the seizures start back up/continue. what do you do now

Answer 5

start CRI of a benzo or propofol

Question 6

what is the dose of midazolam

Answer 6

0.25 mg/kg IV or IN