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Quick Medical Diagnosis & Treatment Status Epilepticus Sections: Key Features, Essentials of Diagnosis, General Considerations, Clinical Findings, Symptoms and Signs, Differential Diagnosis, Diagnosis, Laboratory Tests, Treatment, Medications, Initial management, If seizures continue, Outcome, Follow-Up, Complications, Prognosis, When to Refer, When to Admit, References,
. Topics Discussed: status epilepticus. Excerpt: | | Maintenance of the airway and 50% dextrose (2550 mL) intravenously in case of hypoglycemia
Lorazepam
| | Give 4 mg intravenous bolus at a rate of 2 mg/min, repeat once after 10 minutes if necessary Effective in halting seizures for a brief period |
Diazepam
| | An alternative to lorazepam Give 10 mg intravenous over 2 minutes and repeat after 10 minutes if necessary Can also be given rectally as a gel (0.2 mg/kg) |
Also give phenytoin (1820 mg/kg) intravenously at 50 mg/min..."
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