14 results
Management of status epilepticus

Big thanks to Dr. Grossman, one of MetroHealth's neurocritical care attendings for his
epilepticus Big ... attendings for his ... #Management #Seizure ... #Algorithm #CriticalCare ... #Neurology
The rationale for aggressive treatment of generalized status epilepticus was described previously here.  In short,
rely upon rapid seizure ... The longer the seizure ... #Management #Neurology ... #CriticalCare # ... #Refractory #Seizures
Hyponatremia Correction
1. Indications for Hypertonic Saline: seizure, coma, focal findings
   - typically occurs with
Hypertonic Saline: seizure ... correction of 0.5-1 mEq/hr ... Demyelination Syndrome ... Correction #goal #rate #management ... #nephrology
An Algorithm for the Management of Seizures

The management of active seizures is algorithmic, starting with a
of Seizures ... active seizures ... and bag-valve mask ... escalating anti-epileptic ... #Emergency #Neurology
Status Epilepticus 
Continuous seizure activity > 5-10 min OR >= 2 seizures without full recovery
First line
Status Epilepticus ... Continuous seizure ... 10 min OR >= 2 seizures ... infusion #Status #Epilepticus ... #Management #Neurology
Posterior Reversible Encephalopathy Syndrome (PRES) - Treatment
Blood pressure control:
 • Aim for 10-25% BP reduction within
Encephalopathy Syndrome ... within first 2-6 hrs ... are preferred Seizure ... #Treatment #Management ... #Neurology
Emergency Treatment Algorithm for Convulsive Status Epilepticus 
 1. ABCDEFG (ABC's and Don't Ever Forget the
Convulsive Status Epilepticus ... ADVANCED AIRWAY MANAGEMENT ... is available or seizure ... Algorithm #Convulsive #management ... #neurology #seizures
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
Then, ask 3 questions ... demyelination syndrome ... of symptomatic (seizures ... Diagnosis #Treatment #management ... #nephrology #sodium
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 Epilepticus ... hyperglycemia Hyponatremia ... Meningitis WITHDRAWAL SYNDROMES ... #Seizures #Differential ... diagnosis #causes #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