MANAGEMENT OF

STATUS EPILEPTICUS

Secure Airway, Breathing, Circulation (ABS’s)

Initial Dose Intravenous Diazepam, 10 mg

Initial Dose Intravenous Phenytoin Sodium, 20 mg/kg

Repeat Dose Intravenous Diazepam, 10 mg

Additional Dose Intravenous Phenytoin Sodium, 10 mg/kg

Supplemental Dose Intravenous Phenobarbital, 10 – 20 mg/kg

Countinous Intravenous Infusion

0 -10 min

10 - 20 min

20 - 30 min

Continuous Intravenous Infusion

Midazolam, 0.1 – 0.4 mg/kg/h after 0.2 mg/kg loading dose

orPropofol, 2 – 10 mg/kg/h

after 1 – 2 mg/kg loading doseor

Pentobarbital Sodium, 5 mg/kg/hafter 12 mg/kg loading dose

> 30 min