Acute management of convulsion

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Acute management of convulsion

Fits ->safe position->check blood sugar --->Low [IV dextrose]

                                                             --->Normal [give IV diazepam 0.25mg/kg]-rectal 0.5mg/kg if IV                                    

                                                                    not possible

                                                             --->(fit stop or  still fitting 3-5min later)

-->  Still fitting 3-5min later

-0.     -0.25mg/kg           -0.50mg/kg

--->     Consult pediatrician on call

Repeat IV Diazepam  --> fit stop

Not available àtransport

Phenytoin available--->IV Phenytoin 15-20mg/kg over 1 hour àtransport

                             --->

Caution!!! MAXIMUM DIAZEPAM DOSE IS 0.75mg/kg

1.       Do not transfer unless child is stable or unable to control fits

2.       Be prepared to provide respiratory support ( bag, mask, ETT )

3.       Child begin to develop cerebral edema after 30 minutes of convulsion

4.       Maintain IV access during transport. ( have diazepam available )