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Pediatrics Epilepsy bfc173c6

A child in status epilepticus should not be given:

A
Clonazepam
B
Fosphenytoin
C
Levetiracetam
D
Phenobarbitone
High-Yield Explanation
- Shoer acting Benzodiazepines like Lorazepam/ Midazolam are preferred for treating Status epilepticus. - If there is no response, then phenytoin/ fosphenytoin, sodium valproate, Levetiracetam, Phenobarbitone can also be used - So a longer acting drug, Clonazepam is not used Management of status epilepticus: Stabilize airway, breathing, circulation Rule out hypoglycemia & hypocalcemia Then give: IV lorazepam or midazolam | seizure persisting Inj. Phenytoin (20 mg / kg) loading dose | seizure persisting Repeat inj. phenytoin (10 mg/kg) | seizure persisting Inj valproate /levetiracetam /phenobarbitone

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