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management neurology treatment status diagnosis causes differential encephalopathy pediatrics posterior reversible rhabdomyolysis acep convulsive correction dosing goal hyponatremia mgh pharmacology
Status Epilepticus - Management Seizure > 5 mins or two seizures without complete recovery between them PEDS Benzo Dose
- Management Seizure ... 5 mins or two seizures ... #2 → Anti-epileptic ... #3 → Infusion ... #seizures #management
Posterior Reversible Encephalopathy Syndrome (PRES) - Treatment Blood pressure control: • Aim for 10-25% BP reduction within
Encephalopathy Syndrome ... (PRES) - Treatment ... reduction within first 2- ... are preferred Seizure ... Treatment #Management #Neurology
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
• Headache • Seizures ... • Headache • Seizures ... Constipation, Seizures ... nonconvulsive status epilepticus ... 3 mEq/L • Seizures
Management of Convulsive Status Epilepticus in children Stabilization Phase (Seizure 0-5 minutes): • Check and maintain ABC
Stabilization Phase (Seizure ... (Seizure 5-30 ... (Seizure 30-60 ... (Seizure more than ... #peds #algorithm
Emergency Treatment Algorithm for Convulsive Status Epilepticus 1. ABCDEFG (ABC's and Don't Ever Forget the
Emergency Treatment Algorithm ... 02, suction 3. ... is available or seizure ... Ketamine: 0.5-3 ... #seizures #ACEP
Hyponatremia Correction 1. Indications for Hypertonic Saline: seizure, coma, focal findings - typically occurs with
Hypertonic Saline: seizure ... increasing Na ~5mEq 2. ... 10-12 mEq/day 3. ... Demyelination Syndrome ... rate #management #nephrology
Rhabdomyolysis - Differential Diagnosis and Management Summary Trauma: • Immobilization, Crush iniury, Compartment syndrome, Electrical injury Exertional: •
iniury, Compartment syndrome ... exertion/training, Seizures ... Shift of extracellular ... obstruction 3. ... Monitor potassium
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
exertion/training - Seizures ... Shift of extracellular ... obstruction 3. ... Monitor potassium ... causes #treatment #nephrology
Management Algorithm for Status Epilepticus • Assess airway, breathing, and circulation • Pulse oximetry • Electrocardiogram • Finger stick (give
Management Algorithm ... for Status Epilepticus ... 20-40 mg/kg at 3- ... #Neurology #pharmacology ... #dosing #seizure
MGH Status Epilepticus Treatment Protocol 1st line (seizures ongoing for 5-10 mins): - Lorazepam 4mg IV
Protocol 1st line (seizures ... -30 mins) - If seizures ... 100mg/min) 3) ... min (need EKG pre ... Treatment #Protocol #algorithm
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