Status Epilepsy | Western Sydney University

University:
Western Sydney University
Course:
MEDI 2003 | Clinical Sciences 2
Academic year:

2024
Views:

193

Pages:

4
Author:

Mariam A. A.

*Seizures are due to abnormal discharges of electrochemical in the brain. * Seizures should be treated when = → last for> &mins known cause. C-13M →meningiis hypoxic injuy or cardio resp compromine *stalicus epilphicus ← last for 730 minutes → repeated over the same period without recovery of consciousness between each convolution * Causes of reversible seizures Nat 31s Ja → systemic GHTHO HTTU emerger emergency hyponatremia infection hypoglycania TLCP →indra-cranial bleed * Red flags of seizures → head injury with delayed seizeves developmental delcry or regression BF HO bleeding discenders or amh-coagulant Heryay FID drugs alkohol focal signs *Main goal of seizwe Tx of it being ASAP= → the longer the seizure, the harder to get it unde control. * Management is implemented @ 5 minutes because= higher risk of developing status epilepticas ifs minutes * Midozolam should start working within 3-7 minkete * Post-seizwe cave= →→Left lateral decubites position ← maintain airway joue thrust, din liff & suchan monitor further seizue achivity & ECG, SaO2, RR, HR neuro states Ix to consider= bloods imaging *Ix post-seizure EEG cravely) bloods →performed when 2nd line agent wed, child 26 monk, medical conccidity, child not returning to busline affe L↳ BSC, electrolyles, Ca24, VBG C CO₂ may be & affer, a seizve) anh-epliptic drug levels, FBCI cultre Cif suspecting Sepsio → consider imaging wher= focal Seizeves → requined 3rd line agent 6 months features of raised (CP ← bleeding disorder or on anti-coagulan anti-coagulant therapy → duld uld not returning to baseline affer post-ictal phase EEG → generally performed after and seizere required for a diagnosis of benign epilepsy durnation sides → eyes の facial twitching be fre change in behavia, sensation, headall, vomit during focal movement, ev eves vespadne pocary much how to stimul, describe moveme, pallor, cyanosis, aura? after → post-idal phare self resolvin resolving how long was the recarey! * Anti-pyrelics reduce fever, but do not prevent furthur convulsions → thay we used to comfort/settle the child