Seizure - Revision history

Mfrdmanager at 14:05, 13 November 2020

2020-11-13T14:05:09Z

Mfrdmanager: /* 5.12 SEIZURE */

2018-06-22T13:45:20Z

‎5.12 SEIZURE

Mfrdmanager at 13:44, 22 June 2018

2018-06-22T13:44:52Z

Mfrdmanager: Protected "Seizure" ([Edit=Allow only administrators] (indefinite) [Move=Allow only administrators] (indefinite))

2018-02-10T14:28:23Z

Protected "Seizure" ([Edit=Allow only administrators] (indefinite) [Move=Allow only administrators] (indefinite))

Mfrdmanager: Created page with "==Section 5 -MEDICAL== ===5.12 SEIZURE=== INITIAL MEDICAL CARE (2.01) - OXYGEN @ 100% via NRB mask: * Institute if..."

2018-02-10T14:28:17Z

Created page with "==Section 5 -MEDICAL== ===5.12 SEIZURE=== INITIAL MEDICAL CARE (2.01) - OXYGEN @ 100% via NRB mask: * Institute if..."

New page

==Section 5 -MEDICAL==
===5.12 SEIZURE===

[[Initial Medical Assessment and Care|INITIAL MEDICAL CARE]] (2.01) - [[Medical Gases|OXYGEN]] @ 100% via NRB mask:
* Institute if patient had a grand mal seizure PTA or is actively having grand mal seizure.
* Protect airway and protect patient from injury. Vomiting / aspiration precautions. Place nothing in mouth during seizure. Observe type, location and duration of seizure activity.
* Obtain and record blood sugar level and refer to [[Hypo or Hyperglycemia|HYPO / HYPERGLYCEMIA PRACTICE PARAMETERS]], (5.10) as indicated.
* If current seizure activity lasting greater than 10 minutes,
** [[Sedative Hypnotics|DIAZEPAM]] 2 - 20 mg Slow IVP for adults, titrated to control seizure activity. If no IV access, administer [[Sedative Hypnotics|DIAZEPAM]] 10 - 20 mg IM up to a total of 2 ml per large muscle injection site or 1 ml per small muscle injection site.
** '''''OR''''' [[Sedative Hypnotics|MIDAZOLAM (VERSED)]] 5 mg IV, IM, IO or IN.

* Refer to Handtevy System for pediatric administration. If no IV access in PEDIATRICS, rectal administration may be used, per Handtevy System.
* Observe patient's sensorium and airway during post-ictal period. Note any injury sustained during seizure and / or any incontinence.
* If febrile seizure, refer to [[Pediatric Febrile Emergency|PEDIATRIC FEBRILE EMERGENCY PRACTICE PARAMETER]] (7.10).

'''''PATIENT REFUSALS'''''
*If a patient has been treated for seizures, transport is not required if:
** The patient is stable.
** The patient has a competent adult that will remain with the patient for hours.
** The patient understands and agrees to the following instructions to take medication if indicated and call back if necessary.
* For seizures, the patient cannot have:
** fever
** repetitive seizures
** an unusual seizure for the patient
** New onset of seizures
*Any Questions, refer to [[Refusal of Service|REFUSAL OF SERVICE PRACTICE PARAMETER]] (1.03)

[[Category:Medical|0512]]

@@ Line 8: / Line 8: @@
 * Obtain and record blood sugar level and refer to [[Hypo or Hyperglycemia|HYPO / HYPERGLYCEMIA PRACTICE PARAMETERS]], (5.10) as indicated.
 * If current seizure activity lasting greater than 10 minutes,
-** [[Sedative Hypnotics|DIAZEPAM]] 2 - 20 mg Slow IVP for adults, titrated to control seizure activity. If no IV access, administer [[Sedative Hypnotics|DIAZEPAM]] 10 - 20 mg IM up to a total of 2 ml per large muscle injection site or 1 ml per small muscle injection site.
+** [[Valium|DIAZEPAM]] 2 - 20 mg Slow IVP for adults, titrated to control seizure activity. If no IV access, administer [[Valium|DIAZEPAM]] 10 - 20 mg IM up to a total of 2 ml per large muscle injection site or 1 ml per small muscle injection site.
-** '''''OR''''' [[Sedative Hypnotics|LORAZAPAM]] 1 - 2 mg Slow IVP for adults, titrated to control seizure activity. If no IV access, administer [[Sedative Hypnotics|LORAZAPAM]] 1 - 2 mg IM up to a total of 2 ml per large muscle injection site or 1 ml per small muscle injection site
+** '''''OR''''' [[Ativan|LORAZAPAM]] 1 - 2 mg Slow IVP for adults, titrated to control seizure activity. If no IV access, administer [[Ativan|LORAZAPAM]] 1 - 2 mg IM up to a total of 2 ml per large muscle injection site or 1 ml per small muscle injection site
-** '''''OR''''' [[Sedative Hypnotics|MIDAZOLAM (VERSED)]] 5 mg IV, IM, IO or IN.
+** '''''OR''''' [[Versed|MIDAZOLAM (VERSED)]] 5 mg IV, IM, IO or IN.
 * Refer to Handtevy System for pediatric administration. If no IV access in PEDIATRICS, rectal administration may be used, per Handtevy System.

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