A child in status epilepticus should not be given:
- 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
Clonazepam
Fosphenytoin
Levetiracetam
Phenobarbitone
Epilepsy