Sunday, December 18, 2011

Convulsions

- The patient needs Oxygen.

- Blood glucose should be measured as it may be the cause of convulsions.

Treatment:

1- Diazepam ampule intravenous very slowly.

- If it can not be taken intravenous, you may give it rectally with the same dose 1/2 mg/kg.

2- Phenytoin Na

- Loading dose: 10-20 mg/kg in 100 ml saline over 2 hours.

- Maintenance dose: 5-7 mg/kg/day divided in 3 doses intravenous very slowly.

  Examples of drugs:

- Phenytoin

- Epanutin

- Phenytin

- Valpam

- Farcozepam

- Neuril = Valpam = Farcozepam → in 10 ml saline and given  intravenous very slowly. 

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