Pediatric Seizure
General Pediatric Assessment
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Patient febrile?
Yes
Cool the Patient
No
Yes
Patient actively
seizing?
No
Does Patient
have history of
seizures?
No
Blood glucose testing
Reassess and monitor VS
Blood glucose testing
Yes
Ventilation Management
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Vascular Access
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Cardiac monitor
MIDAZOLAM
0.1 mg/kg,
IM/IN/IV/IO;
max 5.0 mg
OR
DIAZEPAM
0.1 mg/kg
IM/IV/PR;
max dose 5.0 mg
No
BG <60mg/dl?
Yes
D10
5 ml/kg IV
max single dose 250ml
Yes
BG <60mg/dl?
GLUCAGON
0.5 mg IM
for no IV access
No
Persistant (status)
or
recurrent seizures?
No
Reassess and monitor VS
Yes
Glucose test / retest
Ventilation Management
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Consider
Vascular Access
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Cardiac monitor
MIDAZOLAM
0.1 mg/kg
IM/IN/IV
max 5.0 mg
OR
DIAZEPAM
0.1 mg/kg
IM/IV/PR
max dose 5.0 mg
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Pediatric Assessment
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