Treatment should be initiated as soon as possible in all patients with continuous seizure activity lasting more than 10 minutes.
Seizure control within 30 minutes of presentation.
Large bore IV line inserted
Start:
Benzodiazepine (diazepam OR clonazepam OR midazolam)
Followed by
Phenytoin OR fosphenytoin
Fast onset
Level falls rapidly due to fatty tissue redistribution
Most important drug treatment
Must not be given with glucose-containing IV fluid.
Must be infused at a slow rate (<50mg/min).
Contraindicated in 2nd degree or 3rd degree heart block, or during a MI or CHF.
About | |
Created | 20040514 |