12 results
Status Epilepticus - Management
Seizure > 5 mins or two seizures without complete recovery between them
PEDS
Benzo Dose
Status Epilepticus ... Lorazepam 0.1 mg ... #management #treatment ... #algorithm #peds ... #pediatrics #neurology
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Repeat the sodium ... Step 2. ... Assess volume status ... • nephrotic syndrome ... #Nephrology
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 ... #Neurology
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Diagnosis Workup Algorithm ... renal mechanism 2) ... Volume Status ... , Cushing syndrome ... #nephrology #sodium
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
2) Is ADH elevated ... demyelination syndrome ... of symptomatic (seizures ... #management #nephrology ... #sodium
Hyponatremia Correction
1. Indications for Hypertonic Saline: seizure, coma, focal findings
   - typically occurs with
Hypertonic Saline: seizure ... increasing Na ~5mEq 2. ... Demyelination Syndrome ... /CCF/CWRU EM Res ... rate #management #nephrology
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
Altered mental status ... level (mean 58 mg ... epilepticus Treatment ... underlying cause • Treatment ... : Treat with AEDs
Emergency Treatment Algorithm for Convulsive Status Epilepticus 
 1. ABCDEFG (ABC's and Don't Ever Forget the
Emergency Treatment ... Algorithm for Convulsive ... is available or seizure ... #management #neurology ... #seizures #ACEP
Management of Convulsive Status Epilepticus in children
Stabilization Phase (Seizure 0-5 minutes):
 • Check and maintain ABC
slowly over 2-5 ... IV Thiopental Sodium ... #Management #neurology ... #pediatrics #peds ... #algorithm
Hyponatremia - Differential Algorithm
Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP
Hypotonic Hyponatremia: 
 • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
Algorithm Isotonic ... Cirrhosis, Nephrotic Syndrome ... /CCF/CWRU EM Res ... diagnosis #causes #nephrology ... #sodium #low