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epilepticus status diagnosis peds treatment classification convulsive differential dosing euvolemic hypervolemic hyponatremia hypovolemic mgh nephro pediatrics pharmacology protocol pseudohyponatremia sbi
Differential Diagnosis and Evaluation of Hyponatremia: 1) Identification of onset (acute vs. chronic) 2) Presence of symptoms (HA,
Diagnosis and Evaluation ... acute vs. chronic) 2) ... nausea, confusion, seizures ... ) 3) Assessment ... #Ddxof
Serious Bacterial Illness (SBI): 1) UTI and pyelonephritis Most common cause of SBI Accounts for 3-8% of uncharacterized fevers Female
Consider BCx, CSF evaluation ... 97% specificity 2) ... Protein > 80 - Seizure ... complex febrile seizure ... Diagnosis #Peds #EM
Emergency Treatment Algorithm for Convulsive Status Epilepticus 1. ABCDEFG (ABC's and Don't Ever Forget the
ABC's and Don't Ever ... Midazolam 10 mg IM ... is available or seizure ... #neurology #seizures ... #ACEP
Management of Convulsive Status Epilepticus in children Stabilization Phase (Seizure 0-5 minutes): • Check and maintain ABC
Stabilization Phase (Seizure ... Epilepticus (Seizure ... If seizure continues ... #Epilepticus #seizure ... #Management #neurology
Management Algorithm for Status Epilepticus • Assess airway, breathing, and circulation • Pulse oximetry • Electrocardiogram • Finger stick (give
Management Algorithm ... Fosphenytoin 20 PE/kg IM ... 20-40 mg/kg at 3- ... #Algorithm #Neurology ... pharmacology #dosing #seizure
MGH Status Epilepticus Treatment Protocol 1st line (seizures ongoing for 5-10 mins): - Lorazepam 4mg IV
Protocol 1st line (seizures ... intranasal/buccal/IM ... -30 mins) - If seizures ... 100mg/min) 3) ... #neurology #management
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