11 results
Status Epilepticus - Management
Seizure > 5 mins or two seizures without complete recovery between them
PEDS
Benzo Dose
Status Epilepticus ... #2 → Anti-epileptic ... #Epilepticus #seizures ... management #treatment #algorithm ... peds #pediatrics #neurology
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
and Workup Step ... Step 2. ... Assess volume status ... #Diagnosis #Workup ... #Algorithm #Nephrology
Emergency Treatment Algorithm for Convulsive Status Epilepticus 
 1. ABCDEFG (ABC's and Don't Ever Forget the
Emergency Treatment Algorithm ... is available or seizure ... #Algorithm #Convulsive ... #management #neurology ... #seizures #ACEP
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis Workup ... Algorithm 1) ... renal mechanism 2) ... Volume Status ... #Algorithm #nephrology
Management of Convulsive Status Epilepticus in children
Stabilization Phase (Seizure 0-5 minutes):
 • Check and maintain ABC
Early Status Epilepticus ... Epilepticus (Seizure ... Epilepticus (Seizure ... #Epilepticus #seizure ... #Management #neurology
Causes of Status Epilepticus in Adults
METABOLIC DISTURBANCES
Hepatic encephalopathy
Hypocalcemia
Hypoglycemia or hyperglycemia
Hyponatremia
Uremia
INFECTIOUS PROCESSES
Central nervous system abscess
Encephalitis
Meningitis
WITHDRAWAL SYNDROMES
Alcohol
Antiepileptic drugs
Baclofen
Barbiturates
Benzodiazepines
CENTRAL
Causes of Status ... Adults METABOLIC ... hyperglycemia Hyponatremia ... #Epilepticus #Seizures ... diagnosis #causes #neurology
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
Then, ask 3 questions ... to work through ... 2) Is ADH elevated ... of symptomatic (seizures ... Treatment #management #nephrology
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
Altered mental status ... may precede the neurologic ... Drug toxicity, Metabolic ... epilepticus ... diagnosis #management #neurology
Management Algorithm for Status Epilepticus

• Assess airway, breathing, and circulation
• Pulse oximetry
• Electrocardiogram
• Finger stick (give
Management Algorithm ... for Status Epilepticus ... StatusEpilepticus #Management #Algorithm ... #Neurology #pharmacology ... #dosing #seizure
MGH Status Epilepticus Treatment Protocol
1st line (seizures ongoing for 5-10 mins): 
 - Lorazepam 4mg IV
MGH Status Epilepticus ... Protocol 1st line (seizures ... -30 mins) - If seizures ... #Protocol #algorithm ... #neurology #management