4.4 I) Neurological Status Epilepticus Rch / Dunn

Front 1

In regards to Paediatric Status Epilepticus presentations, what is the most important "DO NOT FORGET" factor ?

Back 1

The Blood Sugar

Front 2

What is the immediate Management of hypoglycaemia and Status Epilepticus ?

Back 2

10 mL/ kg of 10 % dextrose

Front 3

In regards to Status Epilepticus and Hypoglycaemia, which of the following is correct ?
A. Hypoglycaemia is defined a a blood sugar below 2.6 mmol/L
B. It is managed with 5 mL / kg of 10% dextrose
C. The management aim is a BSL > 10 mmol/L
D. Pyridoxine 100 mg / kg is given for refractory seizures in young infants with refractory seizures.

Back 3

A.

B = 10 mL/kg 10% dextrose
C = BSl between 4-8 mmol/L
D = 100 mg IV of pyridoxine

Front 4

List the Escalating Pharmacological management of Paediatric Status Epilepticus .

Back 4

1. Midazolam 0.15 mg/kg IV / IO
- repeat at 5 minutes
2. Phenytoin 20 mg/kg IV over 20 min.
3. Phenobarbitone 20 mg/kg over 20 min
4. Propofol 2 mg/kg IV bolus then infusion at 2mg/kg/Hr

DO NOT FORGET:
5. 10% dextrose 10 mL/kg for hypoglycaemia < 2.6 mmol/L
6. Pyridoxine 100 mg IV for refractory seizures in young infant

Front 5

List the "other" causes for Paediatric Status Epilepticus that will require specific Management .

Back 5

1. Hypoglycaemia
2. Hypoxia
3. Electrolytes -Hypocalcaemia / Hyponatraemia
4. Meningitis-encephalitis
5. Toxicological - drug overdose ( TCA / OHG )
6. Trauma -Head Injury (known or occult)

Front 6

List the Traumatic complications of Seizures (5).

Back 6

1. Head injury - occiput
2. Tongue lacerations - laterally
3. Dental injury
4. Joint dislocation - shoulder (posterior)
5. Lumbar vertebrae fractures