Nurturing/ Teaching Courses
Management of Royal Children's Hospital of Melbourne) (in
If seizure persists or the onset has not been witnessed, pursue active management (see management algorithm and drug dose table):
Taken from Paediatric Protocols for Malaysian Hospitals (2nd Edn)
However, any seizure > 5 minutes is unlikely to abort spontaneously, and should be treated aggressively. Furthermore, there is evidence of progressive, time-dependent development of pharmaco-resistance if seizures continue to perpetuate.
Refractory status epilepticus: seizures lasting for >60 minutes or not responding to adequate doses of benzodiazepine and second line medications.
• apart from terminating seizures, management of SE should include, identifying and treating underlying cause
• presence of SE may mask usual signs and symptoms of meningitis or encephalitis, resulting in a danger of overlooking life-threatening infections.
• common mistakes in failing to treat status epilepticus (SE) are under-dosing of anticonvulsant and excessive time lag between doses/steps of treatment
contributed by Ji Keon (Monash)
"treat, heal, and comfort always"
"spiritual forming disciples of Jesus Christ with informed minds, hearts on fire and contemplative in actions"
Except where otherwise
noted, content on this site is
© 2006-2017 Alex Tang