SEIZURES

Question 1

How long is someone barred from driving after a first seizure with no definitive cause?

Answer 1

6 months

Question 2

In someone with diagnosed epilepsy how long must they be seizure free before they can reapply for their license?

Answer 2

12 months

Question 3

In the hospital setting what are the first 2 lines of medical management for convulsive status epilepticus? Is this medication given fast or slow? What is it mixed with?

Answer 3

1. Lorazepam 4mg IV
2. Repeat lorazepam 4mg IV if not effective
3. Give slowly
4. 1:1 with NaCl or water

Question 4

If lorazepam isn’t effective what is the next line of medication?

What monitoring is important when giving this drug?

Answer 4

• if patient not already taking maintenance phenytoin therapy, give phenytoin at 15 mg/kg as a loading dose at 50mg/min
• cardiac monitoring

Question 5

If both lorazepam and phenytoin have been shown to be ineffective, what is next in the management of status epilepticus? What medications can be used to achieve this?

Answer 5

Rapis sequence induction and intubation

1. propofol
2. midazolam
3. thiopental

Question 6

What is the dosing of lorazepam in paediatric seizure? How many time is lorazepam repeated in paeds seizure?

Answer 6

• 0.1mg/kg
• It isn’t, only use it once
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