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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Status Epilepticus - Management
Seizure > 5 mins or two seizures without complete recovery between them
PEDS
Benzo Dose
Epilepticus - Management ... between them PEDS ... #management #treatment ... #algorithm #peds ... #pediatrics #neurology
Treatment of hyperkalemia via kaliuresis 
step 1 = volume resuscitation if hypovolemic
step 2 = consider fludrocortisone
step
Treatment of hyperkalemia ... hypovolemic step 2 ... #kaliuresis #management ... diuretics #diuresis #nephrology ... #algorithm
The rationale for aggressive treatment of generalized status epilepticus was described previously here.  In short,
for aggressive treatment ... rely upon rapid seizure ... cause aspiration, hyperkalemia ... #Management #Neurology ... #Algorithm #PulmCrit
Pediatric SVT - Management Algorithm
Identify SVT:
 β€’ HR not variable
 β€’ Abrupt rate changes
 β€’ Infants:
Algorithm Identify ... AP Stable? ... 2 J/kg - Dr. ... #Algorithm #peds ... #Pediatric #treatment
Posterior Reversible Encephalopathy Syndrome (PRES) - Treatment
Blood pressure control:
 β€’ Aim for 10-25% BP reduction within
Syndrome (PRES) - Treatment ... reduction within first 2- ... are preferred Seizure ... Encephalopathy #Syndrome #Treatment ... #Management #Neurology
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
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 ... epilepticus: - Propofol ... #Algorithm #Management ... #Neurology #Pharmacology
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm
Drugs that prolong QT interval:
 β€’ Class 1a (quinidine,
Algorithm Drugs ... , sotalol) β€’ Propofol ... Hypomagnesemia β€’ Hypokalemia ... Hypocalcemia (rarely) Treatment ... β€’ Adult load: 2-
Management of Convulsive Status Epilepticus in children
Stabilization Phase (Seizure 0-5 minutes):
 β€’ Check and maintain ABC
Management of Convulsive ... mg) slowly over 2- ... #Management #neurology ... #pediatrics #peds ... #algorithm
MGH Status Epilepticus Treatment Protocol
1st line (seizures ongoing for 5-10 mins): 
 - Lorazepam 4mg IV
Status Epilepticus Treatment ... (seizures ongoing ... mg/kg/hr 2) Propofol ... #Protocol #algorithm ... #neurology #management