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management epilepticus status nephrology diagnosis encephalopathy pediatrics posterior reversible syndrome acep causes convulsive correction differential dosing elevated goal hemodialysis hemorrhage
Status Epilepticus - Management Seizure > 5 mins or two seizures without complete recovery between them PEDS Benzo Dose
- Management Seizure ... 5 mins or two seizures ... Anti-epileptic #3 ... #Epilepticus #seizures ... #algorithm #peds
Posterior Reversible Encephalopathy Syndrome (PRES) - Treatment Blood pressure control: • Aim for 10-25% BP reduction within
) - Treatment Blood ... reduction within first 2- ... are preferred Seizure ... Can usually be d/c'd ... #Management #Neurology
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
• Headache • Seizures ... • Headache • Seizures ... Risk factors 3. ... Constipation, Seizures ... 3 mEq/L • Seizures
Emergency Treatment Algorithm for Convulsive Status Epilepticus 1. ABCDEFG (ABC's and Don't Ever Forget the
Emergency Treatment ... is available or seizure ... : 0.5-3 mg/kg IV ... #management #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 ... over 2-3 minutes ... #Epilepticus #seizure
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. ... desmopressin MH ... /CCF/CWRU EM Res
Management Algorithm for Status Epilepticus • Assess airway, breathing, and circulation • Pulse oximetry • Electrocardiogram • Finger stick (give
Management Algorithm ... /kg at 3-6 mg/kg ... mg/kg IV at 2-5 ... #Neurology #pharmacology ... #dosing #seizure
Intracranial Hemorrhage (ICH) and Increased Intracranial Pressure (ICP) - Pathophysiology ICH Management: 1. Manage Blood Pressure •
volume and ICP 2. ... lidocaine, +/- pre-treatment ... adequate sedation 3. ... Manage ICP and Seizures ... Pathophysiology #neurology
MGH Status Epilepticus Treatment Protocol 1st line (seizures ongoing for 5-10 mins): - Lorazepam 4mg IV
1st line (seizures ... -30 mins) - If seizures ... 100mg/min) 3) ... min (need EKG pre ... mg/kg/hr 2) Propofol
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
exertion/training - Seizures ... obstruction 3. ... output: 200 ml/hr 3. ... if levels > 8 mg ... #nephrology
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