Status epilepticus (SE) is defined as a continuous seizure lasting >30 minutes or recurrent seizures without return to baseline in between. After 30 minutes, ischemic injury to th...
Ask about onset of seizure activity, duration, characteristic movements, and similarity to prior episodes. Ask about prior need for anticonvulsants and intubation/coma induction.
Ask a...
ABCs (stabilization of airway, supporting respiration, maintaining BP, and gaining intravascular access)
Assess for hypoxia, hemodynamics, hyperthermia, hypoglycemia, hyponatremia.
BP, EKG, an...
Cardiorespiratory monitoring, level of care as appropriate for clinical status
Monitor hydration and creatine kinase (CK) levels in case of convu...
Abend NS, Loddenkemper T. Pediatric status epilepticus management. Curr Opin Pediatr. 2014;26(6):668–674. [View Abstract on OvidInsights]
Appleton R, Macleod S, Martland T. Dru...
345.3 Grand mal status
345.10 Generalized convulsive epilepsy, without mention of intractable epilepsy
345.00 Generalized nonconvulsive epilepsy, without mention of intractable epilepsy
345.80 ...
Q: Does SE cause brain injury?
A: Neuronal loss may occur with prolonged SE after 30 minutes. This illness represents a neurologic emergency. Other determinants of outcome are hypoxic brain injury ...
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