10 results
Differential Diagnosis and Evaluation of Hyponatremia:
1) Identification of onset (acute vs. chronic)
2) Presence of symptoms (HA,
acute vs. chronic) 2) ... nausea, confusion, seizures ... Assessment of volume status ... history #Diagnosis #EM ... #IM #Nephro #Hyponatremia
Status Epilepticus - Management
Seizure > 5 mins or two seizures without complete recovery between them
PEDS
Benzo Dose
Status Epilepticus ... Lorazepam 0.1 mg/kg ... → Benzo Dose 2 ... management #treatment #algorithm ... peds #pediatrics #neurology
Status Epilepticus 
Continuous seizure activity > 5-10 min OR >= 2 seizures without full recovery
First line
Status Epilepticus ... Continuous seizure ... seizures without ... 4 mg IV (10 mg IM ... Epilepticus #Management #Neurology
Hyponatremia Correction
1. Indications for Hypertonic Saline: seizure, coma, focal findings
   - typically occurs with
Hypertonic Saline: seizure ... increasing Na ~5mEq 2. ... in water @ 3cc/kg ... MH/CCF/CWRU EM ... rate #management #nephrology
Emergency Treatment Algorithm for Convulsive Status Epilepticus 
 1. ABCDEFG (ABC's and Don't Ever Forget the
Emergency Treatment Algorithm ... Midazolam 10 mg IM ... is available or seizure ... Convulsive #management #neurology ... #seizures #ACEP
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Diagnosis Workup Algorithm ... renal mechanism 2) ... Volume Status ... Diagnosis #Workup #Algorithm ... #nephrology #sodium
Management of Convulsive Status Epilepticus in children
Stabilization Phase (Seizure 0-5 minutes):
 • Check and maintain ABC
mg) slowly over 2- ... mg) slowly over 2- ... OR • IM Midazolam ... #Management #neurology ... pediatrics #peds #algorithm
Emergency Treatment Algorithm for Convulsive Status Epilepticus
1. ABCDEFG (ABC's and Don't Ever Forget the Glucose)
2. Airway:
Emergency Treatment Algorithm ... for Convulsive Status ... Midazolam 10 mg IM ... Epilepticus #Treatment #Algorithm ... #Management #Neurology
Management Algorithm for Status Epilepticus

• Assess airway, breathing, and circulation
• Pulse oximetry
• Electrocardiogram
• Finger stick (give
for Status Epilepticus ... IM or IV at 150 ... mg/kg IV at 2-5 ... #Neurology #pharmacology ... #dosing #seizure
MGH Status Epilepticus Treatment Protocol
1st line (seizures ongoing for 5-10 mins): 
 - Lorazepam 4mg IV
intranasal/buccal/IM ... over 5 min (need EKG ... mg/kg/hr 2) Propofol ... Treatment #Protocol #algorithm ... #neurology #management