11 results
Status Epilepticus - Management
Seizure > 5 mins or two seizures without complete recovery between them
PEDS
Benzo Dose
Status Epilepticus ... #2 → Anti-epileptic ... #3 → Infusion ... #management #treatment ... #algorithm #peds
Emergency Treatment Algorithm for Convulsive Status Epilepticus
1. ABCDEFG (ABC's and Don't Ever Forget the Glucose)
2. Airway:
Emergency Treatment ... Status Epilepticus ... of 2-10 mg/kg/hr ... : 0.5-3 mg/kg IV ... #Epilepticus #Treatment
Emergency Treatment Algorithm for Convulsive Status Epilepticus 
 1. ABCDEFG (ABC's and Don't Ever Forget the
Emergency Treatment ... Status Epilepticus ... of 2-10 mg/kg/hr ... : 0.5-3 mg/kg IV ... #Epilepticus #Treatment
Management of Convulsive Status Epilepticus in children
Stabilization Phase (Seizure 0-5 minutes):
 • Check and maintain ABC
• Give high flow ... Early Status Epilepticus ... IV infusion of 3 ... #Management #neurology ... pediatrics #peds #algorithm
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
Risk factors 3. ... on MRA/CTA • Anterior ... epilepticus ... Treatment: • Address ... 3 mEq/L • Seizures
Treatment Algorithm for Active Proliferative Lupus Nephritis (Class III/IV or Mixed Class III/IV + V)
Induction Therapy
Treatment Algorithm ... Agent plus mod-high ... Oral MMF 2-3 g/d ... #Algorithm #Proliferative ... Nephritis #management #nephrology
MGH Status Epilepticus Treatment Protocol
1st line (seizures ongoing for 5-10 mins): 
 - Lorazepam 4mg IV
MGH Status Epilepticus ... 100mg/min) 3) ... over 5 min (need EKG ... pre/post) 3rd ... #Epilepticus #Treatment
Management Algorithm for Status Epilepticus

• Assess airway, breathing, and circulation
• Pulse oximetry
• Electrocardiogram
• Finger stick (give
Management Algorithm ... for Status Epilepticus ... at 3-6 mg/kg/min ... mg/kg IV at 2-5 ... #Neurology #pharmacology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Evaluation Major Pre-Op ... ASA class If high ... event, follow ACC algorithm ... indicated • EKG ... Obtain EKG if:
Intracranial Hemorrhage (ICH) and Increased Intracranial Pressure (ICP) - Pathophysiology
ICH Management:
1. Manage Blood Pressure
  •
volume and ICP 2. ... lidocaine, +/- pre-treatment ... Fentanyl 3mcg/kg ... adequate sedation 3. ... High ICP: 20.