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6 Cards in this Set

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what is status epilepticus
More than 30 minutes of continuous seizure activity or two or more sequential seizures without full recovery of consciousness between seizures

Just for fun...
The first description of SE in the medical literature was in a Babylonian text from the first millennium BC. The author recognized the severity of the condition, "If an epilepsy demon falls many times upon him on a given day, he seven times punishes him and possesses him, his life will be spared. If he falls upon him eight times, his life may not be spared”
tx of status
Start an IV line, administer a 50-mL bolus of 50% dextrose IV, then start the anticonvulsant.

Administer diazepam or lorazepam 0.15 mg/kg IV over 5 minutes, followed by fosphenytoin 15-20 mg phenytoin equivalents (PE)/kg at a rate not to exceed 150 mg/min.

Intubate if necessary, and control hyperthermia.

If seizures continue after 20 minutes, give additional fosphenytoin 10 mg PE/kg.

If seizures continue after 20 minutes, give additional fosphenytoin 10 mg PE/kg.

If seizures continue, administer general anesthesia
seconds-minutes, sudden loss of mm control, during strong emotional stimulus, develop flat affect to avoid attacks
cataplexy
what is status epilepticus
More than 30 minutes of continuous seizure activity or two or more sequential seizures without full recovery of consciousness between seizures

Just for fun...
The first description of SE in the medical literature was in a Babylonian text from the first millennium BC. The author recognized the severity of the condition, "If an epilepsy demon falls many times upon him on a given day, he seven times punishes him and possesses him, his life will be spared. If he falls upon him eight times, his life may not be spared”
tx of status
Start an IV line, administer a 50-mL bolus of 50% dextrose IV, then start the anticonvulsant.

Administer diazepam or lorazepam 0.15 mg/kg IV over 5 minutes, followed by fosphenytoin 15-20 mg phenytoin equivalents (PE)/kg at a rate not to exceed 150 mg/min.

Intubate if necessary, and control hyperthermia.

If seizures continue after 20 minutes, give additional fosphenytoin 10 mg PE/kg.

If seizures continue after 20 minutes, give additional fosphenytoin 10 mg PE/kg.

If seizures continue, administer general anesthesia
seconds-minutes, sudden loss of mm control, during strong emotional stimulus, develop flat affect to avoid attacks
cataplexy