Seizures — Pediatric Algorithm
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39 Terms
What is the dose of midazolam for an actively seizing child?
0.1 mg/kg.
What is the max IN dose of midazolam for an actively seizing child?
5 mg.
What is the max IM dose of midazolam for an actively seizing child?
10 mg.
Should midazolam be delayed to obtain IV or IO access in an actively seizing child?
No.
When is the Spinal Precautions protocol used for an actively seizing child?
If indicated.
What glucose test is done for an actively seizing child?
Blood Glucose Analysis procedure.
What is done with clothing for an actively seizing child?
Loosen any constrictive clothing.
Who is protected during active pediatric seizure care?
The patient and responders.
When is IV/IO access done for an actively seizing child?
If possible or appropriate at this time.
When is waveform capnography required in pediatric seizure?
If a medication was given to treat the seizure.
What monitoring is required during active pediatric seizure care?
Cardiac monitoring and temperature.
What is the typical age range for febrile seizures?
6 months to 5 years.
What temperature sends an actively seizing child to the Fever/Sepsis protocol?
Greater than 100.4°F (38°C).
What is monitored after seizure medication in a child?
Age-based hypotension and respiratory depression.
What protocol is considered if needed after pediatric seizure medication?
Pediatric Airway Protocol.
What must happen before any PAI in pediatric seizure?
Medical control must be contacted.
What glucose test is done for a post-seizure child?
Blood Glucose Analysis procedure.
What is done with clothing for a post-seizure child?
Loosen any constrictive clothing.
Who is protected during care of a post-seizure child?
The patient.
When is IV/IO access done for a post-seizure child?
If indicated.
What monitoring is applied for a post-seizure child?
Cardiac monitor.
When is the Pediatric Airway protocol used for a post-seizure child?
If indicated.
What vital sign is obtained for a post-seizure child?
Temperature.
What temperature sends a post-seizure child to the Fever/Sepsis protocol?
Greater than 100.4°F.
When is seizure medication given to a child who was not seizing on arrival?
If the patient begins seizing in the presence of EMS and treatment is indicated.
What is the dose of midazolam for a child who begins seizing in front of EMS?
0.1 mg/kg.
What is the max IV/IO/IN dose of midazolam for a child seizing in front of EMS?
5 mg.
What is the max IM dose of midazolam for a child seizing in front of EMS?
10 mg.
Where must IM seizure medications be given in a child?
The thigh.
What is the dose of lorazepam for pediatric seizure?
0.1 mg/kg.
How is lorazepam administered for pediatric seizure?
IV/IO.
What is the max dose of lorazepam for pediatric seizure?
2 mg.
How often can midazolam or lorazepam be repeated for pediatric seizure?
Every 5 minutes as needed until the seizure stops.
What is the max dose of midazolam per dose when repeated IM in pediatric seizure?
5 mg.
When is the Spinal Precautions protocol used for a post-seizure child?
If indicated.
When is the Diabetic protocol used in pediatric seizure?
If indicated.
What protocol is used for age-based hypotension in pediatric seizure?
Pediatric Hypotension/Shock Protocol.
What is done after stabilizing a post-seizure child?
Monitor and reassess.
What is the final step in pediatric seizure?
Transport.