Status Epilepticus in Pediatrics

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Pediatric Status Epilepticus

MC cause 

1. Prolonged febrile seizures
2. Sudden withdrawal of antiepileptic drugs

Management :

• 1st Midazolam (0.1 - 0.3 mg/kg) or Diazepalm (0.3 - 0.5 mg/kg) - Quick action
• 2nd Phenytoin (20 mg/kg )
• If No effect - give Lorazepalm (0.1 mg/kg)
• If No effect - repeat phenytoin (10 mg/kg)
• If No effect - Phenobarbitone (20 mg/kg)
• If No effect - repeat phenobarbitone (10 mg/kg)
• Still no effect - injection Valproate 20/30 mg/kg
• Midazolam infusion 2ug/kg/min , increase every 15 mins to 20ug/kg/min
  ICU (Ventilator)
  General anaesthesia (Thiopentone)

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