Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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16 results
Status Epilepticus - Management
Seizure > 5 mins or two seizures without complete recovery between them
PEDS
Benzo Dose
Status Epilepticus ... #2 β†’ Anti-epileptic ... #3 β†’ Infusion ... #management #treatment ... #algorithm #peds
The rationale for aggressive treatment of generalized status epilepticus was described previously here.  In short,
for aggressive treatment ... epilepticus was ... cause aspiration, hyperkalemia ... #Management #Neurology ... #Seizures #Algorithm
Emergency Treatment Algorithm for Convulsive Status Epilepticus
1. ABCDEFG (ABC's and Don't Ever Forget the Glucose)
2. Airway:
Emergency Treatment ... Status Epilepticus ... - Propofol: 2-5 ... #Epilepticus #Treatment ... #Algorithm #Management
Emergency Treatment Algorithm for Convulsive Status Epilepticus 
 1. ABCDEFG (ABC's and Don't Ever Forget the
Emergency Treatment ... Status Epilepticus ... 02, suction 3. ... Propofol: 2-5 mg ... #Epilepticus #Treatment
Treatment of hyperkalemia via kaliuresis 
step 1 = volume resuscitation if hypovolemic
step 2 = consider fludrocortisone
step
Treatment of hyperkalemia ... hypovolemic step 2 ... fludrocortisone step 3 ... #kaliuresis #management ... diuresis #nephrology #algorithm
Status Epilepticus 
Continuous seizure activity > 5-10 min OR >= 2 seizures without full recovery
First line
Status Epilepticus ... infusion) β€’ Propofol ... (3-5 mg/kg bolus ... hr infusion #Status ... #Epilepticus #Management
Management of Convulsive Status Epilepticus in children
Stabilization Phase (Seizure 0-5 minutes):
 β€’ Check and maintain ABC
Management of Convulsive ... Status Epilepticus ... Early Status Epilepticus ... #Management #neurology ... pediatrics #peds #algorithm
MGH Status Epilepticus Treatment Protocol
1st line (seizures ongoing for 5-10 mins): 
 - Lorazepam 4mg IV
MGH Status Epilepticus ... Treatment Protocol ... mg/kg/hr 2) Propofol ... #Epilepticus #Treatment ... #Protocol #algorithm
Hyperkalemia Management Algorithm
 β€’ Treat the cause & optimize hemodynamics and ventilation
 β€’ Reconsider treatment leadingto
Hyperkalemia Management ... Algorithm β€’ Treat ... Stabilization 2) ... Intracellular K+ Shift 3) ... #Management #Algorithm
Emergent Hyperkalemia Treatment Algorithm
ECG changes, weakness, K+ >6.5 Or renal insufficiency with K >5.5 with cellular
Emergent Hyperkalemia ... Treatment Algorithm ... monitor glucose x 3 ... #Treatment #Algorithm ... #Management