Treatment of status epilepticus with intravenous medications. Status epilepticus is a medical emergency that usually requires intravenous medication. Medications are given as single IV boluses, or as IV loading doses followed by maintenance doses, or as continuous infusions.
,† Status epilepticus (SE) is a common pediatric neurologic emergency that refers to a prolonged seizure or recurrent seizures without a return
Several new medications to treat seizures were devel-oped in the past decade, although they are not available in IV forms to allow rapid administration.
The seizure is continuing five minutes after the emergency medication has been administered.
In some children with status epilepticus, seizures persist despite treatment with adequate doses of an initial two or three anticonvulsant medications, and this condition con-stitutes refractory status epilepticus.
Status epilepticus is associated with a high mortality rate that is largely contingent on the duration of the condition before initial treatment, the etiology of the condition, and the age of the patient. Treatment is evolving as new medications become available.
...does of IV anti-biotics and acyclovir (in febrile patient without identified etiology) • Appropriate maintenance antiepileptic medications Admit to
Throughout this critical period, treatment of status epilepticus involves ensuring an adequate airway and oxygenation, establishing an intravenous (IV) line for administration of critical medication and fluid...
If status epilepticus has still not halted. If the patient is still convulsing despite benzodiazepines, phenytoin or valproate loading, and then third line agents described in the prior step, the patient will need
No other IV medication for seizures shares these features. Lawrence Hirsch report provides justification for continued use of IV Levetiracetam for critically ill patients with seizures especially refractory status epilepticus.